Individual
DR. LADAN ILKHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
985 CEDARBRIDGE AVE, BRICK, NJ 08723-4167
(732) 477-5600
(732) 477-1899
Mailing address
985 CEDARBRIDGE AVE, BRICK, NJ 08723-4167
(732) 477-5600
(732) 477-1899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
264169
NY
Other
Enumeration date
02/11/2011
Last updated
07/17/2012
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