Individual
MR. SOFAINE KHELIFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 N FORK LNDG RD UNIT 220, MAPLE SHADE, NJ 08052-1059
(856) 220-7369
Mailing address
810 N FORK LNDG RD UNIT 220, MAPLE SHADE, NJ 08052-1059
(856) 220-7369
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
A0312032
NJ
Other
Enumeration date
12/27/2010
Last updated
12/27/2010
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