Individual
JOSEPH G.A. IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 E 27TH ST, BAYONNE, NJ 07002-4608
(201) 436-0033
(201) 436-0079
Mailing address
19 E 27TH ST, BAYONNE, NJ 07002-4608
(201) 436-0033
(201) 436-0079
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07777500
NJ
Other
Enumeration date
07/04/2006
Last updated
07/23/2012
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