Individual
KHALED ALALWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
57 LAKEVIEW AVE, CLIFTON, NJ 07011-4041
(347) 545-7962
(862) 591-1194
Mailing address
14 EMERSON DR, STATEN ISLAND, NY 10304-1511
(718) 720-2377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
286078
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09983000
NJ LICENSE /REGISTRATION CERTIFICATE
NJ
Enumeration date
07/05/2013
Last updated
01/24/2023
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