Individual
MARIAM IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1026 BROAD ST UNIT 18, SHREWSBURY, NJ 07702-4380
(732) 460-9840
(732) 460-9848
Mailing address
PO BOX 8519, RED BANK, NJ 07701-8519
(732) 460-9848
(732) 460-9840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA10922700
NJ
Other
Enumeration date
05/23/2017
Last updated
06/19/2024
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