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Individual

DR. AHMAD HAJ-IBRAHIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
691 DELAWARE AVE, ROEBLING, NJ 08554-2001
(609) 499-8100
(609) 499-8118
Mailing address
691 DELAWARE AVE, PO BOX 301, ROEBLING, NJ 08554-2001
(609) 499-8100
(609) 499-8118

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA06520400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000628307001
GREAT WEST
01
0264674000
AMERIHEALTH HMO
01
1139647
UNITED HEALTHCARE
01
2171226
AETNA PPO
01
223630266001
TRICARE
01
2K4971
HEALTHNET
01
4637401
AETNA
01
5634087
FIRST HEALTH NETWORK
01
7365832
CIGNA
05
8169004
NJ
01
P2194303
OXFORD HEALTH PLAN
Enumeration date
08/07/2006
Last updated
07/08/2007
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