Individual
ISMAIL NASER ALTHUNIBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 CENTRAL AVE, NEWARK, NJ 07102-1909
(862) 395-1700
Mailing address
254-270 ORANGE ST, NEWARK, NJ 07103-4499
(862) 395-1700
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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