Most Relevant Information
Provider Data
| NPI Number: | 1003594334 |
| Provider Name: | IBARHIM ZONGO |
| Entity Type: | Individual |
| Taxonomy Code: | 171W00000X |
| Specialty: | Contractor |
| License Number: | Z64053540003922 |
Most Important Dates
| Enumeration Date: | 07/07/2023 |
| Last Updated: | 07/07/2023 |
Provider Practice Location
2 EVELYN CT
MAPLEWOOD
NJ
070403319
Practice Location Phone/Fax
| Phone: | 8622569237 |
| Fax: |
Provider Mailing Location
2 EVELYN CT
MAPLEWOOD
NJ
070403319
Provider Mailing Phone/Fax
| Phone: | 8622569237 |
| Fax: |