Individual
DR. IBRAHIM SALEM BUKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BETHANY RD BLDG 6, SUITE 85, HAZLET, NJ 07730-1669
(732) 264-7208
Mailing address
4 GREEN LEAF WAY, HOLMDEL, NJ 07733-1048
(732) 264-7208
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA03741400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1441906
—
NJ
Enumeration date
02/01/2006
Last updated
03/24/2010
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