Individual
EHAB IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOLE PROVIDER
Contact information
Practice address
72 MUNDY AVE, SPOTSWOOD, NJ 08884-1749
(201) 285-9729
Mailing address
72 MUNDY AVE, SPOTSWOOD, NJ 08884-1749
(201) 285-9729
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
09/25/2023
Last updated
10/13/2023
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