Individual
ISHAQ O IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, STONEMAN 10, BOSTON, MA 02215-5400
(617) 667-3940
Mailing address
330 BROOKLINE AVE, STONEMAN 10, BOSTON, MA 02215-5400
(617) 667-3940
Taxonomy
Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
Primary
1013936
MA
Other
Enumeration date
06/24/2015
Last updated
09/20/2024
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