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Individual

DR. ANAS KHOURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Contact information

Practice address
235 MAIN AVE, PASSAIC, NJ 07055-5501
(973) 473-6665
(973) 471-7308
Mailing address
235 MAIN AVE, PASSAIC, NJ 07055-5501
(973) 473-6665
(973) 471-7308

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00272000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011533
NJ
Enumeration date
12/23/2005
Last updated
10/29/2013
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