Organization
HACKENSACK NJ MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHAB F IBRAHIM M.D., (CEO)
(201) 342-0066
Entity
Organization
Contact information
Practice address
92 SUMMIT AVE, HACKENSACK, NJ 07601-1263
(201) 342-0066
(201) 342-0079
Mailing address
92 SUMMIT AVE, HACKENSACK, NJ 07601-1263
(201) 342-0066
(201) 342-0079
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08461900
NJ
Other
Enumeration date
11/14/2008
Last updated
08/31/2015
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