Organization
PATHOLOGY ASSOCIATES OF NORTHWEST JERSEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD A KHAN MD (PRESIDENT)
(908) 850-6948
Entity
Organization
Contact information
Practice address
651 WILLOW GROVE ST, PATHOLOGY DEPARTMENT, HACKETTSTOWN, NJ 07840-1799
(908) 850-6948
(908) 441-1408
Mailing address
98 FORD RD, SUITE 3-H, DENVILLE, NJ 07834-1374
(973) 625-3366
(973) 625-0349
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA02250300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6353304
—
NJ
Enumeration date
08/18/2006
Last updated
07/30/2010
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