Individual
PETER MORCOS IBRAHIM GHOBRIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
175 MADISON AVE, MOUNT HOLLY, NJ 08060-2038
(609) 914-6180
(609) 914-6182
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
048883
CT
207R00000X
Internal Medicine Physician
25MA08978600
NJ
208M00000X
Hospitalist Physician
Primary
25MA08978600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06697247
ECFMG
NY
Enumeration date
06/10/2010
Last updated
01/29/2024
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