Organization
DEWAN S KHAN M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEWAN S KHAN M.D. (OWNER)
(732) 697-1919
Entity
Organization
Contact information
Practice address
146 NEW BRUNSWICK AVE, HOPETOWN, NJ 08861
(732) 697-1919
(800) 954-0789
Mailing address
PO BOX 7438, EAST BRUNSWICK, NJ 08816
(732) 697-1919
(800) 954-0789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA61758
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7067801
—
NJ
Enumeration date
12/01/2006
Last updated
08/02/2012
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