Individual
DR. MOHAMMAD IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
871 MCBRIDE AVE, WEST PATERSON SPECIAITLY CLINIC, WEST PATERSON, NJ 07424-2745
(973) 569-4488
(973) 569-4743
Mailing address
871 MCBRIDE AVE, WEST PATERSON SPECIAITLY CLINIC, WEST PATERSON, NJ 07424-2745
(973) 569-4488
(973) 569-4743
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
MA61942
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8472505
—
NJ
Enumeration date
04/03/2006
Last updated
01/24/2008
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