Individual
DR. EBRAHIM J. KERMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 E SADDLE RIVER RD, SADDLE RIVER, NJ 07458-2633
(201) 818-0010
Mailing address
PO BOX 102, SADDLE RIVER, NJ 07458-0102
(201) 818-0010
(201) 818-0010
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
115613
NY
2084P0800X
Psychiatry Physician
Primary
MA028528
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6211801
—
NJ
Enumeration date
12/28/2006
Last updated
07/09/2007
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