# ST THOMAS MEDICCAL CENTER

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

## Provider details

- **NPI number:** 1962807552
- **Authorized official:** DR. JOSEPH IBRAHIM MD (OWNER/MD)
- **Authorized official phone:** (201) 436-0033

## Contact information

- **Practice address:** 17 E 27TH ST, BAYONNE, NJ 07002-4608
- **Practice address phone:** (201) 436-0033
- **Practice address fax:** (201) 436-0079
- **Mailing address:** 17 E 27TH ST, BAYONNE, NJ 07002-4608
- **Mailing address phone:** (201) 436-0033
- **Mailing address fax:** (201) 436-0079

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | 25MA07777500 | NJ | Yes |

## Other

- **Enumeration date:** 10/26/2014
- **Last updated:** 10/26/2014