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Individual

MAKRAM GHOBRIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(908) 653-9399
(908) 653-9305
Mailing address
PO BOX 128, UNION, NJ 07083-0128
(866) 291-9707

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA25111
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2730405
NJ
Enumeration date
09/25/2006
Last updated
07/08/2007
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