Organization
SALEH I KHADDASH MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALEH I KHADDASH MD (OWNER)
(973) 546-3355
Entity
Organization
Contact information
Practice address
40 UNION AVE, CLIFTON, NJ 07011-2219
(973) 546-3355
(973) 546-8501
Mailing address
40 UNION AVE, CLIFTON, NJ 07011-2219
(973) 546-3355
(973) 546-8501
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MA05889500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6068308
—
NJ
Enumeration date
09/11/2008
Last updated
09/11/2008
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