NPI | 1740348440 |
---|---|
Entity Type | Organization |
Authorized Contact | KANIZ KHAN-JAFFERY Sole Proprietor 609-463-2763 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X (Licence: NJ 25MA07990600) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA07990600) |
Enumeration Date | 2006-12-05 |
Last Update Date | 2025-09-11 |