Individual
DR. UMMAIS N KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1199 PLEASANT VALLEY WAY, WEST ORANGE, NJ 07052-1424
(973) 731-3600
Mailing address
72 GILLESPIE RD, BLOOMFIELD, NJ 07003-3879
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
NOT YET ISSUED
NJ
Other
Enumeration date
02/10/2012
Last updated
05/17/2012
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