Individual
KIFAH KHAIR ABEDRABBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
252 CLINTON RD, WEST CALDWELL, NJ 07006-6606
(862) 262-0113
Mailing address
252 CLINTON RD, WEST CALDWELL, NJ 07006-6606
(862) 262-0113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00805400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/25/2021
Last updated
01/19/2024
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