Individual
DR. KHADIJA IBEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H
Contact information
Practice address
655 E JERSEY ST, PES - NEW POINT CAMPUS, ELIZABETH, NJ 07206-1259
(908) 994-7166
Mailing address
655 E JERSEY ST, PES - NEW POINT CAMPUS, ELIZABETH, NJ 07206-1259
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
25MA09220000
NJ
Other
Enumeration date
06/23/2009
Last updated
08/23/2013
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