Organization
FLORENCE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD HAJ-IBRAHIM MD (PRESIDENT)
(609) 499-8100
Entity
Organization
Contact information
Practice address
691 DELAWARE AVE, ROEBLING, NJ 08554-2001
(609) 499-8100
Mailing address
691 DELAWARE AVE, PO BOX 301, ROEBLING, NJ 08554-2001
(609) 499-8100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0331972001
AMERIHEALTH HMO
—
01
—
2030470
UNITED HELTHCARE AARP
—
01
—
2171226
AETNA
—
01
—
2K4971
HEALTHNET
—
01
—
5634087
FIRST HEALTH
—
01
—
7365832
CIGNA
—
05
—
8169004
—
NJ
01
—
P2194303
OXFORD
—
Enumeration date
09/30/2006
Last updated
08/22/2020
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