# WEST PATERSON SPECIALTY CLINIC INC

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

## Provider details

- **NPI number:** 1730135682
- **Authorized official:** DR. MOHAMMAD S IBRAHIM MD (OWNER)
- **Authorized official phone:** (973) 569-4488

## Contact information

- **Practice address:** 871 MCBRIDE AVE, WOODLAND PARK, NJ 07424-2748
- **Practice address phone:** (973) 569-4488
- **Practice address fax:** (973) 569-4743
- **Mailing address:** 871 MCBRIDE AVE, WOODLAND PARK, NJ 07424-2748
- **Mailing address phone:** (973) 569-4488
- **Mailing address fax:** (973) 569-4743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | MA61942 | NJ | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 03/14/2011