Organization
DEBRA IBRAHIM, D.O., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA IBRAHIM D.O. (OWNER)
(201) 794-0800
Entity
Organization
Contact information
Practice address
21-10 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5934
(201) 794-0800
Mailing address
21-10 SADDLE RIVER RD, FAIR LAWN, NJ 07410-5934
(201) 794-0800
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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