Individual
INTISAR KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
234 HAMBURG TPKE STE 202, WAYNE, NJ 07470-2174
(973) 310-0309
Mailing address
234 HAMBURG TPKE STE 202, WAYNE, NJ 07470-2174
(973) 310-0309
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01416700
NJ
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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