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Individual
S M GOLAM KIBREA
Active
Individual
S M GOLAM KIBREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08794300
NJ
Other
Enumeration date
05/01/2008
Last updated
10/30/2013
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