Organization
PHOENIX PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMAD H KHAN MD (PRESIDENT)
(814) 659-3133
Entity
Organization
Contact information
Practice address
705 BROADWAY, PATERSON, NJ 07514-1425
(814) 659-3133
Mailing address
PO BOX 438, HILLSDALE, NJ 07642-0438
(814) 659-3133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA08804200
NJ
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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