| NPI | 1740348440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANIZ KHAN-JAFFERY Sole Proprietor 609-463-2763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07990600) |
| Additional Taxonomies | 208VP0000X Pain Medicine Pain Medicine (Licence: NJ 25MA07990600) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |