Organization
ABOLGHASSEM SHEIBAN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABOLGHASSEM G. SHEIBAN M.D. (PRESIDENT)
(201) 445-0469
Entity
Organization
Contact information
Practice address
190 DAYTON ST, 2ND FLOOR, RIDGEWOOD, NJ 07450-4422
(201) 445-0469
(201) 447-4755
Mailing address
190 DAYTON ST, 2ND FLOOR, RIDGEWOOD, NJ 07450-4422
(201) 445-0469
(201) 447-4755
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
25MA02281800
NJ
Other
Enumeration date
08/19/2008
Last updated
08/19/2008
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