Individual
IBARHIM ZONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2 EVELYN CT, MAPLEWOOD, NJ 07040-3319
(862) 256-9237
Mailing address
2 EVELYN CT, MAPLEWOOD, NJ 07040-3319
(862) 256-9237
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
Z64053540003922
NJ
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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