Individual
AHDI IBRAHIM ELIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2839 ROUTE 10 EAST, SUITE 202, MORRIS PLAINS, NJ 07950-1200
(973) 292-9248
Mailing address
1042 MORRIS TPKE, SHORT HILLS, NJ 07078-1005
(973) 912-0782
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA062264
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6789609
—
NJ
Enumeration date
07/24/2006
Last updated
07/08/2007
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