Organization
FARAH KHAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAOMI MARY (MANAGER)
(609) 482-3701
Entity
Organization
Contact information
Practice address
4065 QUAKERBRIDGE RD, PRINCETON JUNCTION, NJ 08550-5243
(609) 482-3701
(609) 482-3702
Mailing address
4065 QUAKERBRIDGE RD, PRINCETON JUNCTION, NJ 08550-5243
(609) 482-3701
(609) 482-3702
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2084P0800X
Psychiatry Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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