Individual
MARIAM GHOBRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 W MAIN ST, 111, FREEHOLD, NJ 07728-2554
(732) 303-0102
(732) 637-8539
Mailing address
800 W MAIN ST, 111, FREEHOLD, NJ 07728-2554
(732) 303-0102
(732) 637-8539
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA007975600
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA07975600
NJ
Other
Enumeration date
08/13/2006
Last updated
03/16/2016
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