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Contact Information

GHASSAN J IBRAHIM, MD
424 S 56TH ST STE 120
PHOENIX, AZ85034-2177
 Phone: 602-685-5166
 Fax: 602-685-5325
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for GHASSAN J IBRAHIM · (Male)

NPI Number 1740456136
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2008
Last updated 07/29/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 58135
  • NJ License # 25MA08776200
Hospital affiliation(s)
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER - (Acute Care)
    1945 RTE 33
    NEPTUNE, NJ 07754
  • JFK MEDICAL CTR - ANTHONY M. YELENCSICS COMMUNITY - (Acute Care)
    65 JAMES STREET
    EDISON, NJ 08818
  • SOUTHERN OCEAN MEDICAL CENTER - (Acute Care)
    1140 RT 72 W
    MANAHAWKIN, NJ 08050
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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