Organization
NJ SPINE&PAIN INSTITUTE
Active
Organization
NJ SPINE&PAIN INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH IBRAHIM MD (MD/OWNER)
(908) 399-9835
Entity
Organization
Contact information
Practice address
59 MAIN ST, SUITE 353, WEST ORANGE, NJ 07052-5341
(908) 399-9835
Mailing address
59 MAIN ST, SUITE 353, WEST ORANGE, NJ 07052-5341
(908) 399-9835
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
25MA077775000
NJ
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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