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Individual

AYMAN ERAIBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
510 HAMBURG TPKE STE 208, WAYNE, NJ 07470-2033
(973) 904-3480
(973) 904-3485
Mailing address
510 HAMBURG TPKE STE 208, WAYNE, NJ 07470-2033
(973) 904-3480
(973) 904-3485

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA57646
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5539609
NJ
Enumeration date
02/28/2007
Last updated
07/08/2007
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