Organization
JAVAD KHAVARIAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAVAD KHAVARIAN M.D. (ORTHOPAEDIC SURGEON)
(732) 739-3130
Entity
Organization
Contact information
Practice address
733 N BEERS ST, SUITE L3, HOLMDEL, NJ 07733-1528
(732) 739-3130
(732) 739-1783
Mailing address
733 N BEERS ST, SUITE L3, HOLMDEL, NJ 07733-1528
(732) 739-3130
(732) 739-1783
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA02527500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3068200-01 NJ
—
NJ
01
—
427444
MEDICARE/PTAN
NJ
Enumeration date
10/08/2010
Last updated
10/08/2010
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