Ebrahim Issa Valid NPI

Individual provider · Specialist · Teaneck, NJ

NPI

1578524864

Type

Individual (Type 1)

Primary specialty

Specialist

Specialty group

Other Service Providers

Taxonomy code

174400000X

License number

NJMA71809 (NJ)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-03-28

Last updated

2013-10-07