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Organization
IBRAHIM WILLIAM SIDHOM M.D.,P.C.
Active
Organization
IBRAHIM WILLIAM SIDHOM M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM WILLIAM SIDHOM M.D. (PRESIDENT)
(732) 541-5595
Entity
Organization
Contact information
Practice address
48 PULASKI AVE, CARTERET, NJ 07008-2509
(732) 541-5595
Mailing address
48 PULASKI AVE, CARTERET, NJ 07008-2509
(732) 541-5595
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MA50525
NJ
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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