Individual
MR. RIZWANUR KALEEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3546 STATE ROUTE 27, KENDALL PARK, NJ 08824-1065
(609) 483-3411
Mailing address
PO BOX 95000, LB#7550, PHILADELPHIA, PA 19195-7550
(844) 362-1735
(973) 290-7495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00854300
NJ
363A00000X
Physician Assistant
Primary
25MPO0854300
NJ
Other
Enumeration date
08/13/2024
Last updated
10/01/2024
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