Organization
NJ SPINE AND PAIN INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH G. IBRAHIM MD (PRESIDENT)
(973) 243-2010
Entity
Organization
Contact information
Practice address
19 E 27TH ST, BAYONNE, NJ 07002-4608
(201) 436-0033
Mailing address
19 E 27TH ST, BAYONNE, NJ 07002-4608
(201) 436-0033
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
25MA07777500
NJ
Other
Enumeration date
07/17/2013
Last updated
07/17/2013
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