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1407848237

NPI Code Detail

MEDICARE: DR. SAMIH A IBRAHIM MD

MEDICARE: DR. SAMIH A IBRAHIM MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	MA06611	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01000288001	OTHER	NJ	AMERICHOICE
2	209797	OTHER	NJ	US FAMILY HEALTHPLAN
3	4201190	OTHER	NJ	CIGNA HEALTHCARE
4	33469	OTHER	NJ	AMERIGROUP
5	1149766	OTHER	NJ	HORIZON NJ HEALTH
6	1867601	OTHER	NJ	UNITED HEALTHCARE
7	2634745	OTHER	NJ	AETNA USHC
8	335256	OTHER	NJ	ONE HEALTHPLAN
9	P841975	OTHER	NJ	OXFORD HEALTHPLAN
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	1104254	OTHER	NJ	FIRST HEALTH
12	0300512000	OTHER	NJ	AMERIHEALTH
13	27013	OTHER	NJ	UNIVERSITY HEALTHPLAN
14	2K0284	OTHER	NJ	HEALTHNET

General Provider Information

NPI Number	:	1407848237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMIH A IBRAHIM MD

Provider Business Mailing Address
First Line	:	1 HAMILTON HEALTH PL
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08690-3542
Country	:	US
Telephone Number	:	609-631-6899
Fax Number	:	609-631-6898

Provider Business Practice Location Address
First Line	:	1 HAMILTON HEALTH PL
Second Line	:
City	:	TRENTON
State	:	NJ
Zip	:	08690-3542
Country	:	US
Telephone Number	:	609-631-6899
Fax Number	:	609-631-6898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. SAMIH A IBRAHIM MD” Practice Location

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