Individual
MARIANE IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1314 HOOPER AVE BLDG A2ND, TOMS RIVER, NJ 08753-2586
(322) 557-5537
(732) 255-8901
Mailing address
1314 HOOPER AVE BLDG A2ND, TOMS RIVER, NJ 08753-2586
(322) 557-5537
(732) 255-8901
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA09632000
NJ
Other
Enumeration date
03/23/2012
Last updated
10/17/2024
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