Individual
DR. IBRAHIM M IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 ENGLE ST, 2 EAST, ENGLEWOOD, NJ 07631-1808
(201) 227-5533
(201) 227-5537
Mailing address
350 ENGLE ST, 2 EAST, ENGLEWOOD, NJ 07631-1808
(201) 227-5533
(201) 227-5537
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
193400000X
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0756709
—
NJ
Enumeration date
08/15/2006
Last updated
06/30/2010
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