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Individual

DR. GEORGES A GHACIBEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
381 PARK ST., SUITE 200, HACKENSACK, NJ 07601-4350
(201) 546-8510
(201) 957-7316
Mailing address
381 PARK ST., SUITE 200, HACKENSACK, NJ 07601-4350
(201) 546-8510
(201) 957-7316

Taxonomy

Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
25MA08232000
NJ
2084N0400X
Neurology Physician
Primary
25MA08232000
NJ
2084N0400X
Neurology Physician
ME84939
FL
2084N0600X
Clinical Neurophysiology Physician
25MA08232000
NJ
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
25MA08232000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0143731
NJ
05
269611800
FL
Enumeration date
06/08/2006
Last updated
12/15/2022
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