# IBRAHIM WILLIAM SIDHOM M.D.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275709511
- **Authorized official:** IBRAHIM WILLIAM SIDHOM M.D. (PRESIDENT)
- **Authorized official phone:** (732) 541-5595

## Contact information

- **Practice address:** 48 PULASKI AVE, CARTERET, NJ 07008-2509
- **Practice address phone:** (732) 541-5595
- **Mailing address:** 48 PULASKI AVE, CARTERET, NJ 07008-2509
- **Mailing address phone:** (732) 541-5595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MA50525 | NJ | Yes |

## Other

- **Enumeration date:** 05/06/2008
- **Last updated:** 05/06/2008