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Organization
NJ SPINE AND PAIN INSTITUTE LLC
Active
Organization
NJ SPINE AND PAIN INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH G. IBRAHIM MD (PRESIDENT)
(973) 243-2010
Entity
Organization
Contact information
Practice address
19 E 27TH ST, BAYONNE, NJ 07002-4608
(201) 436-0033
Mailing address
19 E 27TH ST, BAYONNE, NJ 07002-4608
(201) 436-0033
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
25MA07777500
NJ
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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