Individual
ARAZ IBRAGIMOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
175 HIGH STREET, NEWTON, NJ 07860
(973) 383-2121
Mailing address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB09221400
NJ
207LP3000X
Pediatric Anesthesiology Physician
244187
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0450545
—
NJ
Enumeration date
05/22/2007
Last updated
05/26/2015
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