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Individual

OMAR S KHWAJA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 LONGWOOD AVE, CHILDREN'S HOSPITAL/DEPT. OF NEUROLOGY, BOSTON, MA 02115-5724
(617) 355-8994
Mailing address
163 CHESTNUT HILL AVE, APT. P# 3, BRIGHTON, MA 02135-4669
(617) 355-8994

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
227999
MA

Other

Enumeration date
05/03/2006
Last updated
07/08/2007
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