Individual
MRS. ILHAN M IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
175 CONNORS ST STE 1, GARDNER, MA 01440-2637
(978) 410-6100
Mailing address
54 ORIENT ST, WORCESTER, MA 01604
(301) 356-3045
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
287755
MA
Other
Enumeration date
04/26/2018
Last updated
10/26/2021
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