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Contact Information

AYMAN M IBRAHIM, DO
194 BROAD ST
SUITE 4
BLOOMFIELD, NJ07003-2606
 Phone: 973-680-8400
 Fax: 973-680-8404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for AYMAN M IBRAHIM · (Male)

NPI Number 1508025834
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/02/2008
Last updated 11/08/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02003764A
  • NJ License # 25MB09396200
  • NY License # 259590
  • NJ Medicaid 0397261
  • IN Other M400050665 MEDICARE PTAN
Hospital affiliation(s)
  • CLARA MAASS MEDICAL CENTER - (Acute Care)
    ONE CLARA MAAS DRIVE
    BELLEVILLE, NJ 07109
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
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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