Individual
MOUNIR R. IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-6414
(908) 598-2337
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
25MA11177500
NJ
208M00000X
Hospitalist Physician
35.146692
OH
Other
Enumeration date
04/25/2018
Last updated
01/19/2023
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