Organization
ST THOMAS MEDICCAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH IBRAHIM MD (OWNER/MD)
(201) 436-0033
Entity
Organization
Contact information
Practice address
17 E 27TH ST, BAYONNE, NJ 07002-4608
(201) 436-0033
(201) 436-0079
Mailing address
17 E 27TH ST, BAYONNE, NJ 07002-4608
(201) 436-0033
(201) 436-0079
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
25MA07777500
NJ
Other
Enumeration date
10/26/2014
Last updated
10/26/2014
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