Individual
DR. JENNIFER IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
350 ENGLE ST, 2 E, ENGLEWOOD, NJ 07631-1808
(201) 227-5526
(201) 503-1029
Mailing address
34 E BROAD ST, BERGENFIELD, NJ 07621-3004
(201) 387-1033
(201) 503-1029
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MA71003
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2K5382
HEALTHNET-SJMC
NJ
01
—
3609213
AETNA-SJMC
NH
05
—
8333301
—
NJ
01
—
8628853
CIGNA-SJMC
NJ
01
—
P3168033
OXFORD-SJMC
NJ
Enumeration date
04/13/2006
Last updated
07/08/2007
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