Individual
DR. EBRAHIM ISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 GRANGE RD, TEANECK, NJ 07666-4420
(201) 907-0995
(201) 907-0996
Mailing address
800 GRANGE RD, TEANECK, NJ 07666-4420
(201) 907-0995
(201) 907-0996
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
NJMA71809
NJ
Other
Enumeration date
03/28/2006
Last updated
10/07/2013
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