Individual
BORIS KHOLDAROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
170 FRELINGHUYSEN RD, ROOM 212, PISCATAWAY, NJ 08854-8020
(848) 445-6071
Mailing address
170 FRELINGHUYSEN RD, ROOM 212, PISCATAWAY, NJ 08854-8020
(848) 445-6071
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
25MA09991600
NJ
2083X0100X
Occupational Medicine Physician
287060
NY
Other
Enumeration date
01/29/2017
Last updated
01/29/2017
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