# PHOENIX PHYSICIANS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154631182
- **Authorized official:** DR. AHMAD H KHAN MD (PRESIDENT)
- **Authorized official phone:** (814) 659-3133

## Contact information

- **Practice address:** 705 BROADWAY, PATERSON, NJ 07514-1425
- **Practice address phone:** (814) 659-3133
- **Mailing address:** PO BOX 438, HILLSDALE, NJ 07642-0438
- **Mailing address phone:** (814) 659-3133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA08804200 | NJ | Yes |

## Other

- **Enumeration date:** 10/08/2010
- **Last updated:** 10/08/2010