Organization
I M IBRAHIM MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IBRAHIM M IBRAHIM M.D. (PRESIDENT)
(201) 227-5533
Entity
Organization
Contact information
Practice address
97 ENGLE ST, ENGLEWOOD, NJ 07631-2904
(201) 227-5533
(201) 227-5537
Mailing address
97 ENGLE ST, ENGLEWOOD, NJ 07631-2904
(201) 227-5533
(201) 227-5537
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1657381
NJ
Other
Enumeration date
11/17/2011
Last updated
01/12/2012
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