Individual
MR. KHALID TELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 S ORANGE AVE STE 24, SOUTH ORANGE, NJ 07079-1931
(973) 436-6605
Mailing address
71 NORMAN RD, NEWARK, NJ 07106-2808
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL07297400
NJ
Other
Enumeration date
03/23/2026
Last updated
04/04/2026
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