Individual
DR. MOHAMAD A KHODAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
25 RIVERSIDE DR STE 2, PINE BROOK, NJ 07058-9391
(201) 693-0127
Mailing address
25 RIVERSIDE DR STE 2, PINE BROOK, NJ 07058-9391
(201) 693-0127
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
MD-GTL-20-01063
NJ
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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