Individual
DR. MICHAEL IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
151 9TH AVE, LITTLE EGG HARBOR TWP, NJ 08087-4218
(609) 294-3200
Mailing address
103 RIVER RD STE 101, EDGEWATER, NJ 07020-1016
(201) 654-6397
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MB10923900
NJ
Other
Enumeration date
04/03/2016
Last updated
07/13/2021
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