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1164480786
OMAR S KHWAJA
BOSTON, MA
NPI
1164480786
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MA 227999)
Enumeration Date
2006-05-03
Last Update Date
2007-07-08
Business Address
OMAR S KHWAJA M.D.
300 LONGWOOD AVE CHILDREN'S HOSPITAL/DEPT. OF NEUROLOGY
BOSTON, MA 02115-5724
Phone number: 617-355-8994
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Mailing Address
OMAR S KHWAJA M.D.
163 CHESTNUT HILL AVE APT. P# 3
BRIGHTON, MA 02135-4669
Phone number: 617-355-8994
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