Dr Mina Aziz Ibrahim, MD | |
123 Highland Ave Ste 202, Glen Ridge, NJ 07028-1522 | |
(973) 429-7600 | |
Not Available |
Full Name | Dr Mina Aziz Ibrahim |
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Gender | Male |
Speciality | Surgery |
Location | 123 Highland Ave Ste 202, Glen Ridge, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497289342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 25MA11703000 (New Jersey) | Primary |
Entity Name | University Hospitals Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
Mailing Address | Practice Location Address |
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Dr Mina Aziz Ibrahim, MD 123 Highland Ave Ste 202, Glen Ridge, NJ 07028-1522 Ph: (973) 429-7600 | Dr Mina Aziz Ibrahim, MD 123 Highland Ave Ste 202, Glen Ridge, NJ 07028-1522 Ph: (973) 429-7600 |
Dr. Harvey Rainville, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 Sherman Ave, Glen Ridge, NJ 07028 Phone: 973-744-8585 | |
Naveen Ballem, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 Sherman Ave, Glen Ridge, NJ 07028 Phone: 973-744-8585 | |
Silvia Fresco, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 123 Highland Ave, Glen Ridge, NJ 07028 Phone: 973-429-1200 Fax: 973-429-7602 | |
Dr. Kartik Narendra Gohil, MBBS Surgery Medicare: Accepting Medicare Assignments Practice Location: 230 Sherman Ave Ste C, Glen Ridge, NJ 07028 Phone: 973-744-8585 Fax: 888-502-6582 | |
Dr. Ramamohanarao V Ballem, MD Surgery Medicare: Medicare Enrolled Practice Location: 230 Sherman Ave, Suite C, Glen Ridge, NJ 07028 Phone: 973-744-8585 Fax: 973-748-5990 | |
Karl W. Strom, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 123 Highland Ave, Glen Ridge, NJ 07028 Phone: 973-429-1200 Fax: 973-429-7602 |