Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00360500 | NJ |
NPI | 1043717234 |
---|---|
Provider Name | Nader Ghobrial |
First Address | Clifton, NJ 07013-3631 |
Second Address | Clifton, NJ 07013-3631 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2018 |
Last Update Date | 02/09/2021 |