# NJ SPINE AND PAIN INSTITUTE LLC

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

## Provider details

- **NPI number:** 1841632973
- **Authorized official:** JOSEPH G. IBRAHIM MD (PRESIDENT)
- **Authorized official phone:** (973) 243-2010

## Contact information

- **Practice address:** 19 E 27TH ST, BAYONNE, NJ 07002-4608
- **Practice address phone:** (201) 436-0033
- **Mailing address:** 19 E 27TH ST, BAYONNE, NJ 07002-4608
- **Mailing address phone:** (201) 436-0033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 25MA07777500 | NJ | Yes |

## Other

- **Enumeration date:** 07/17/2013
- **Last updated:** 07/17/2013