Sidhom, Ibrahim William

Sidhom, Ibrahim William is an sole proprietor health care provider with primary practice located at 48 Pulaski Ave , Carteret NJ 07008-2509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Sidhom, Ibrahim William can be contacted via phone (732) 541-5595.

Contact Information

Primary practice address
48 Pulaski Ave Carteret NJ 07008-2509
Phone: (732) 541-5595
Fax: (732) 541-1451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MA50525 New Jersey

Profile Details

NPI number 1851301220
LBN Legal business name Sidhom, Ibrahim William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1851301220 NPPES
New Jersey MEDICAID 7530803

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