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Organization

ABOLGHASSEM SHEIBAN, M.D., P.A.

Active
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Organization

ABOLGHASSEM SHEIBAN, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABOLGHASSEM G. SHEIBAN M.D. (PRESIDENT)
(201) 445-0469
Entity
Organization

Contact information

Practice address
190 DAYTON ST, 2ND FLOOR, RIDGEWOOD, NJ 07450-4422
(201) 445-0469
(201) 447-4755
Mailing address
190 DAYTON ST, 2ND FLOOR, RIDGEWOOD, NJ 07450-4422
(201) 445-0469
(201) 447-4755

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
25MA02281800
NJ

Other

Enumeration date
08/19/2008
Last updated
08/19/2008
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