Individual
MR. MORTEZA KHALADJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PODIATRIST DP.M.
Contact information
Practice address
9 LAMINGTON RD, BRANCHBURG, NJ 08876
(908) 625-1042
(908) 355-4400
Mailing address
21 VALLEY VIEW AVE, GLADSTONE, NJ 07934
(908) 625-1042
(908) 355-4400
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00179900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1442902
—
NJ
Enumeration date
06/27/2006
Last updated
11/11/2024
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