Individual
RASSAM KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 316-1800
Mailing address
130 POWERVILLE RD, BOONTON, NJ 07005-8705
(973) 316-1800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
25MA12380100
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NJ
Other
Enumeration date
06/27/2022
Last updated
08/30/2025
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