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1578524864
EBRAHIM ISSA
TEANECK, NJ
NPI
1578524864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: NJ NJMA71809)
Enumeration Date
2006-03-28
Last Update Date
2013-10-07
Business Address
Dr. EBRAHIM ISSA
800 GRANGE RD
TEANECK, NJ 07666-4420
Phone number: 201-907-0995
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Mailing Address
Dr. EBRAHIM ISSA
800 GRANGE RD
TEANECK, NJ 07666-4420
Phone number: 201-907-0995
Copy
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