Individual
DR. IBRAHIM WILLIAM SIDHOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
48 PULASKI AVE, CARTERET, NJ 07008-2509
(732) 541-5595
(732) 541-1451
Mailing address
48 PULASKI AVE, CARTERET, NJ 07008-2509
(732) 541-5595
(732) 541-1451
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MA50525
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7530803
—
NJ
Enumeration date
08/09/2006
Last updated
07/08/2007
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