Individual
DR. KHAYRIYYAH E.T. CHANDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
25A TANNER ST, HADDONFIELD, NJ 08033-2403
(856) 874-8194
(856) 210-7068
Mailing address
25A TANNER ST, HADDONFIELD, NJ 08033-2403
(856) 874-8194
(856) 210-7068
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09223100
NJ
207Q00000X
Family Medicine Physician
OS015236
PA
390200000X
Student in an Organized Health Care Education/Training Program
OT012192
PA
Other
Enumeration date
10/08/2008
Last updated
11/05/2015
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