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DR. JONATHAN KHEDOORI KAZAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
506 6TH ST, BROOKLYN, NY 11215
(718) 780-5863
Mailing address
134 HUDSON AVE, TENAFLY, NJ 07670-1006
(212) 717-0448

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
242277
NY
390200000X
Student in an Organized Health Care Education/Training Program
242277
NY

Other

Enumeration date
10/10/2008
Last updated
09/10/2018
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