Organization
MOORESTOWN SPINE SPORTS AND WELLNESS
Active
Other names
Concierge Spine and Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALINI M KHANNA MD (PRESIDENT/CEO)
(202) 262-5629
Entity
Organization
Contact information
Practice address
201 WHITE HORSE RD E, VOORHEES, NJ 08043-2601
(856) 661-7900
(856) 250-1464
Mailing address
200 MARTER AVE STE 700, MOORESTOWN, NJ 08057-3147
(856) 661-7900
(856) 250-1464
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
03/29/2023
Last updated
05/30/2023
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