Individual
AHMED KHATTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
89 FRENCH ST FL 2, NEW BRUNSWICK, NJ 08901-1935
(732) 235-9378
Mailing address
PO BOX 829642, PHILADELPHIA, PA 19182-9642
(866) 470-6626
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
262661
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
25MA09622900
NJ
2080P0205X
Pediatric Endocrinology Physician
262661
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/05/2011
Last updated
07/23/2021
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