Individual
DR. IBRAHIM SALEH KHADDASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
969 PAULISON AVE, CLIFTON, NJ 07011-3629
(973) 546-3355
(973) 546-8501
Mailing address
969 PAULISON AVE, CLIFTON, NJ 07011-3629
(973) 546-3355
(973) 546-8501
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA09543500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2011
Last updated
07/21/2022
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