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Individual

MATEEN A KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4000
Mailing address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
243353
NY
207P00000X
Emergency Medicine Physician
Primary
25MA09445900
NJ
207P00000X
Emergency Medicine Physician
C10007867
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02867403
NY
Enumeration date
07/14/2006
Last updated
07/23/2024
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