# HACKENSACK NJ MEDICAL GROUP PC

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

## Provider details

- **NPI number:** 1912151135
- **Authorized official:** DR. EHAB F IBRAHIM M.D., (CEO)
- **Authorized official phone:** (201) 342-0066

## Contact information

- **Practice address:** 92 SUMMIT AVE, HACKENSACK, NJ 07601-1263
- **Practice address phone:** (201) 342-0066
- **Practice address fax:** (201) 342-0079
- **Mailing address:** 92 SUMMIT AVE, HACKENSACK, NJ 07601-1263
- **Mailing address phone:** (201) 342-0066
- **Mailing address fax:** (201) 342-0079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA08461900 | NJ | Yes |

## Other

- **Enumeration date:** 11/14/2008
- **Last updated:** 08/31/2015