Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mark Ibrahim, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073969622

Mark Ibrahim, MD is a Student in an Organized Health Care Education/Training Program in Newark, New Jersey. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

185 S Orange Ave
Newark, NJ 07103-2757
Phone: (973) 972-6049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1073969622
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 12, 2016
Last updated in NPPESMay 12, 2016
Mailing address130 Bentley Ave, Jersey City, NJ 07304-1702

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