# SALEH I KHADDASH MD PA

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

## Provider details

- **NPI number:** 1447409701
- **Authorized official:** DR. SALEH I KHADDASH MD (OWNER)
- **Authorized official phone:** (973) 546-3355

## Contact information

- **Practice address:** 40 UNION AVE, CLIFTON, NJ 07011-2219
- **Practice address phone:** (973) 546-3355
- **Practice address fax:** (973) 546-8501
- **Mailing address:** 40 UNION AVE, CLIFTON, NJ 07011-2219
- **Mailing address phone:** (973) 546-3355
- **Mailing address fax:** (973) 546-8501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | MA05889500 | NJ | Yes |

## Other

- **Enumeration date:** 09/11/2008
- **Last updated:** 09/11/2008