Haj Ibrahim, Mouna

Haj Ibrahim, Mouna is an individual health care provider with primary practice located at 703 Main St St. Joseph'S Regional Medical Center, Paterson NJ 07503-2621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Haj Ibrahim, Mouna can be contacted via phone (973) 754-2946.

Contact Information

Primary practice address
703 Main St St. Joseph'S Regional Medical Center Paterson NJ 07503-2621
Phone: (973) 754-2946
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA07764000 New Jersey

Profile Details

NPI number 1205873643
LBN Legal business name Haj Ibrahim, Mouna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1205873643 NPPES
New Jersey MEDICAID 0071510

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