Individual
DR. NANCY IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
44 E JIMMIE LEEDS RD STE 101, GALLOWAY, NJ 08205-9599
(609) 677-9729
Mailing address
8025 BLACK HORSE PIKE, PLEASANTVILLE, NJ 08232-2900
(609) 652-8316
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09843600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
MT198144
PA
Other
Enumeration date
06/23/2010
Last updated
12/30/2025
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