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Individual

CHRISTINE IBRAHIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
363 HWY 36, PORT MONMOUTH, NJ 07758-1359
(732) 471-0400
(732) 471-7949
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9840
(732) 460-9848

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA09067400
NJ

Other

Enumeration date
07/28/2009
Last updated
02/21/2014
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