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Individual

HANI A KHOURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
502 HAMBURG TPK, SUITE 107, WAYNE, NJ 07470
(973) 942-6611
(973) 942-5906
Mailing address
502 HAMBURG TPK, SUITE 107, WAYNE, NJ 07470
(973) 942-6611
(973) 942-5906

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
25MA03399800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1795805
NJ
Enumeration date
11/04/2006
Last updated
07/08/2007
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