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Individual

IBRAHIM KAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
65 JAMES ST, EDISON, NJ 08820-3947
(732) 321-7000
Mailing address
65 JAMES ST, EDISON, NJ 08820-3947

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA11798300
NJ
208000000X
Pediatrics Physician
327924
NY
208D00000X
General Practice Physician
Primary
25MA11798300
NJ

Other

Enumeration date
04/01/2020
Last updated
07/19/2024
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