Organization
PREMIER HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANIZ F KHAN-JAFFERY M.D (OWNER)
(609) 377-8516
Entity
Organization
Contact information
Practice address
1129 N NEW RD, ABSECON, NJ 08201-9303
(609) 377-8516
(609) 377-8520
Mailing address
1129 N NEW RD, ABSECON, NJ 08201-9303
(609) 377-8516
(609) 377-8520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07990600
NJ
Other
Enumeration date
04/09/2015
Last updated
04/09/2015
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