Ibrahim, Mohammad

Ibrahim, Mohammad is an sole proprietor health care provider with primary practice located at 871 Mcbride Ave West Paterson Speciaitly Clinic, West Paterson NJ 07424-2745. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Ibrahim, Mohammad can be contacted via phone (973) 569-4488.

Contact Information

Primary practice address
871 Mcbride Ave West Paterson Speciaitly Clinic West Paterson NJ 07424-2745
Phone: (973) 569-4488
Fax: (973) 569-4743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MA61942 New Jersey

Profile Details

NPI number 1265494645
LBN Legal business name Ibrahim, Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Jan 24th, 2008 - about 18 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 1265494645 NPPES
New Jersey MEDICAID 8472505

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