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Dr. Adel Ibrahim

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NPI Number Detailed Information

Provider Information:

Name: Dr. Adel Ibrahim
Gender: M
Provider License Number If Given: 25MA05686900

NPI Information:

NPI: 1093709529
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 3/11/2011

Provider Business Mailing Address:

Address: 551 NEWMAN SPRINGS RD
Lincroft, NJ 07738
Phone Number: 7325309200
Fax Number: 7325308820

Provider Business Practice Location Address:

Address: 551 NEWMAN SPRINGS RD
Lincroft, NJ 07738
Phone Number: 7325309200
Fax Number: 7325308820

Provider Taxonomy:

Primary: 207R00000X
Secondary (if any):
State: NJ

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