Ibrahim, Jennifer

Ibrahim, Jennifer is an individual health care provider with primary practice located at 350 Engle St 2 E, Englewood NJ 07631-1808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), which is considered as her primary health care specialty. Ibrahim, Jennifer can be contacted via phone (201) 227-5526.

Contact Information

Primary practice address
350 Engle St 2 E Englewood NJ 07631-1808
Phone: (201) 227-5526
Fax: (201) 503-1029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MA71003 New Jersey

Profile Details

NPI number 1932163342
LBN Legal business name Ibrahim, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932163342 NPPES
New Jersey Other 8628853 CIGNA-SJMC
New Jersey Other 3609213 CIGNA-SJMC
New Jersey Other 2K5382 CIGNA-SJMC
New Jersey MEDICAID 8333301 CIGNA-SJMC
New Jersey Other P3168033 CIGNA-SJMC

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