Individual
BAHAA KHALIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 ROMAINE AVE, JERSEY CITY, NJ 07306-5645
(201) 878-7630
Mailing address
30 ROMAINE AVE, JERSEY CITY, NJ 07306-5645
(201) 878-7630
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI04049500
NJ
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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