Organization
ST MARY WOMEN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEHAN IBRAHIM MD (PRACTICE OWNER)
(201) 321-2313
Entity
Organization
Contact information
Practice address
35 JOURNAL SQ STE 829, JERSEY CITY, NJ 07306-4007
(201) 321-2313
(201) 222-2692
Mailing address
210 STANLEY AVE, HASBROUCK HEIGHTS, NJ 07604-2210
(201) 321-2313
(201) 222-2692
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09456200
STATE LICENSE
NJ
Enumeration date
02/01/2023
Last updated
07/02/2024
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