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1578266052
MARK IBRAHIM
NEW BRUNSWICK, NJ
NPI
1578266052
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-23
Last Update Date
2023-03-23
Business Address
MARK IBRAHIM DO
254 EASTON AVE
NEW BRUNSWICK, NJ 08901-1766
Phone number: 732-745-8600
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Mailing Address
MARK IBRAHIM DO
254 EASTON AVE
NEW BRUNSWICK, NJ 08901-1766
Phone number:
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