Individual
DR. AYMAN M IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
194 BROAD ST, SUITE 4, BLOOMFIELD, NJ 07003-2606
(973) 680-8400
(973) 680-8404
Mailing address
370 W PLEASANTVIEW AVE, SUITE 2-299, HACKENSACK, NJ 07601-8004
(973) 680-8400
(973) 680-8404
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
02003764A
IN
2084N0400X
Neurology Physician
259590
NY
2084N0400X
Neurology Physician
Primary
25MB09396200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0397261
—
NJ
01
—
M400050665
MEDICARE PTAN
IN
Enumeration date
06/02/2008
Last updated
11/08/2016
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