Individual
MAHMUD IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 ROUTE 18 STE 202, EAST BRUNSWICK, NJ 08816-3727
(732) 955-9139
(732) 387-8594
Mailing address
555 ROUTE 18 STE 202, EAST BRUNSWICK, NJ 08816-3727
(732) 955-9139
(732) 387-8594
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA09258600
NJ
Other
Enumeration date
06/23/2008
Last updated
06/09/2022
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