Provider Demographics
NPI:1326231879
Name:JABER-IQBAL, REEM (DO)
Entity Type:Individual
Prefix:DR
First Name:REEM
Middle Name:
Last Name:JABER-IQBAL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 LINWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-3534
Mailing Address - Country:US
Mailing Address - Phone:201-670-1231
Mailing Address - Fax:201-612-0922
Practice Address - Street 1:735 LINWOOD AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-3534
Practice Address - Country:US
Practice Address - Phone:201-670-1231
Practice Address - Fax:201-612-0922
Is Sole Proprietor?:No
Enumeration Date:2007-08-18
Last Update Date:2016-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB08299000207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine