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Individual

ISHAK G SOLIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
140 PASSAIC AVE, PASSAIC, NJ 07055-4797
(973) 777-8900
(973) 777-8929
Mailing address
140 PASSAIC AVE, PASSAIC, NJ 07055-4797
(973) 777-8900
(973) 777-8929

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MA069365
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020594309
GROUP TAX ID # (LLC-OWNER
05
8368309
NJ
Enumeration date
06/12/2006
Last updated
02/03/2014
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