Organization
NEW JERSEY SPINE AND PAIN INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH G. A. IBRAHIM MD (PRESIDENT)
(201) 436-0033
Entity
Organization
Contact information
Practice address
19 E 27TH ST, BAYONNE, NJ 07002-4608
(201) 436-0033
(201) 436-0079
Mailing address
19 E 27TH ST, BAYONNE, NJ 07002-4608
(201) 436-0033
(201) 436-0079
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
25MA07777500
NJ
Other
Enumeration date
02/28/2007
Last updated
08/21/2013
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