Individual
SAMERH M KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
742 BERGEN BLVD, RIDGEFIELD, NJ 07657-1435
(973) 454-0528
(973) 454-0528
Mailing address
742 BERGEN BLVD, RIDGEFIELD, NJ 07657-1435
(973) 454-0528
(973) 454-0528
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884247942
—
NJ
Enumeration date
07/16/2025
Last updated
07/16/2025
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