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Individual

ZAKI KHEBZOU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1925 PACIFIC AVE, ATLANTIC CITY, NJ 08401-6713
(609) 345-4000
Mailing address
6896 W SNOWVILLE RD, BRECKSVILLE, OH 44141-3214

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA04214800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0502952000
AMERIHEALTH
NJ
01
300298381
KEYSTONE MERCY
NJ
05
5099501
NJ
01
60018872
HORIZON HEALTH
NJ
Enumeration date
05/18/2006
Last updated
12/21/2007
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