Individual
NEIL M KHETERPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
20 PROSPECT AVE, SUITE 715, HACKENSACK, NJ 07601-1997
(201) 881-0721
(201) 881-0725
Mailing address
452 OLD HOOK RD, 2ND FLOOR, EMERSON, NJ 07630-1381
(201) 666-3900
(201) 261-0505
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MB08320000
NJ
207RG0100X
Gastroenterology Physician
270700
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03647014
—
NY
01
—
25MB08320000
NJ MEDICAL LICENSE
NJ
Enumeration date
07/13/2006
Last updated
07/21/2022
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