Individual
MAGDA ERAIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
510 HAMBURG TPKE STE 208, WAYNE, NJ 07470-2033
(973) 904-3480
(973) 904-3485
Mailing address
510 HAMBURG TPKE STE 208, WAYNE, NJ 07470-2033
(973) 904-3480
(973) 904-3485
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA57647
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5539501
—
NJ
Enumeration date
02/28/2007
Last updated
07/08/2007
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