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1780013953
ANITA KHAWAJA
NEWARK, NJ
NPI
1780013953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QM2800X Clinic/Center, Methadone Clinic
(Licence: NJ 2000172)
Enumeration Date
2013-11-07
Last Update Date
2013-11-07
Business Address
-- ANITA KHAWAJA BS
687 FRELINGHUYSEN AVE
NEWARK, NJ 07114-1334
Phone number: 973-799-0508
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Mailing Address
-- ANITA KHAWAJA BS
687 FRELINGHUYSEN AVE
NEWARK, NJ 07114-1349
Phone number: 973-799-0508
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