Individual
DR. EHAB FAWZY IBRAHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
MA07752000
NJ
Other
Enumeration date
10/04/2006
Last updated
02/20/2019
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