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Organization
MOORESTOWN SPINE SPORTS AND WELLNESS
Active
Organization
MOORESTOWN SPINE SPORTS AND WELLNESS
Active
Other names
Concierge Spine and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALINI M KHANNA MD (PRESIDENT/CEO)
(202) 262-5629
Entity
Organization
Contact information
Practice address
201 WHITE HORSE RD E, VOORHEES, NJ 08043-2601
(856) 661-7900
(856) 250-1464
Mailing address
200 MARTER AVE STE 700, MOORESTOWN, NJ 08057-3147
(856) 661-7900
(856) 250-1464
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
03/29/2023
Last updated
05/30/2023
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