EBRAHIM ISSA

TEANECK, NJ
NPI1578524864
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: NJ  NJMA71809)
Enumeration Date2006-03-28
Last Update Date2013-10-07
Business Address
Dr. EBRAHIM ISSA
800 GRANGE RD
TEANECK, NJ 07666-4420
Phone number: 201-907-0995
Mailing Address
Dr. EBRAHIM ISSA
800 GRANGE RD
TEANECK, NJ 07666-4420
Phone number: 201-907-0995