Individual
DR. MAGED L. GHATTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 336-1806
(732) 333-8178
Mailing address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 336-1806
(732) 333-8178
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
25MA08212000
NJ
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
25MA08212000
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA08212000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0205281
—
NJ
Enumeration date
10/31/2005
Last updated
08/22/2014
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