Individual
KANIZ FATIMA KHAN-JAFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3069 ENGLISH CREEK AVE, #203, EGG HARBOR TOWNSHIP, NJ 08234-9708
(609) 377-8516
(609) 377-8520
Mailing address
PO BOX 1064, PLEASANTVILLE, NJ 08232-6064
(609) 377-8516
(609) 377-8520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA07990600
NJ
208VP0000X
Pain Medicine Physician
Primary
25MA0799060
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA07990600
MEDICAL LICENSE
NJ
Enumeration date
11/22/2006
Last updated
09/28/2010
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