Individual
KENNETH KHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
219 NORTH WHITE HORSE PIKE, STE 109, HAMMONTON, NJ 08037
(609) 573-5077
(609) 652-8258
Mailing address
2500 ENGLISH CREEK AVE., BLDG 200, STE 211, EGG HARBOR TOWNSHIP, NJ 08234
(609) 677-7776
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
25MA05373800
NJ
207RI0011X
Interventional Cardiology Physician
Primary
25MA05373800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103006
—
NJ
Enumeration date
01/26/2006
Last updated
08/13/2021
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