GREGG ILAN KHODOROV

PHILADELPHIA, PA
NPI1518586536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-09
Last Update Date2020-04-09
Business Address
GREGG ILAN KHODOROV MD, MBA
1015 WALNUT ST STE 620
PHILADELPHIA, PA 19107-5005
Phone number: 215-955-6864
Mailing Address
GREGG ILAN KHODOROV MD, MBA
60 PATERSON ST APT 803
NEW BRUNSWICK, NJ 08901-2142
Phone number: 973-303-2674