DIANA KHAITOV

BELLEVILLE, NJ
NPI1346564028
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NJ  25MP00183400)
Enumeration Date2010-03-24
Last Update Date2010-03-24
Business Address
-- DIANA KHAITOV PA
1 CLARA MAASS DR CLARA MAASS MEDICAL CENTER
BELLEVILLE, NJ 07109-3550
Phone number: 973-450-2000
Mailing Address
-- DIANA KHAITOV PA
PO BOX 717
LIVINGSTON, NJ 07039-0717
Phone number: 800-345-0064
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