Individual
DR. MARYAM IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-BC
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 866-0018
Mailing address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 866-0018
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307226-1
NY
Other
Enumeration date
07/24/2015
Last updated
08/21/2022
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