Individual
MAI MATLAP MARZOQ AL KHATALIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
254 EASTON AVE, NEW BRUNSWICK, NJ 08901-1766
(917) 363-0672
Mailing address
6035 MONITOR PL, WEST NEW YORK, NJ 07093-3713
(551) 384-4260
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/06/2024
Last updated
07/08/2024
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