Individual
AHMED KHATTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1147 SOUTH AVE, PLAINFIELD, NJ 07062-0706
(908) 757-7703
Mailing address
1147 SOUTH AVE, PLAINFIELD, NJ 07062-1934
(908) 757-7703
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03964600
NJ
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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