Gibreal, Mohammed

Gibreal, Mohammed is an individual health care provider with primary practice located at 2200 Fletcher Ave , Fort Lee NJ 07024-5005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gibreal, Mohammed can be contacted via phone (201) 461-6200.

Contact Information

Primary practice address
2200 Fletcher Ave Fort Lee NJ 07024-5005
Phone: (201) 461-6200
Fax: (201) 461-7204
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA10334000 New Jersey

Profile Details

NPI number 1710242086
LBN Legal business name Gibreal, Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2012
Last updated Jun 6th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710242086 NPPES
New Jersey MEDICAID 0625329

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