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Individual

EMAD M KHELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
15 COMMERCE BLVD STE 100, SUCCASUNNA, NJ 07876-1343
(973) 587-6404
Mailing address
463 OLD POST RD APT 202, EDISON, NJ 08817-4693
(551) 221-4933

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ15216300
NJ

Other

Enumeration date
11/20/2024
Last updated
05/06/2025
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