Individual
DR. AMIRA KHATIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
225 WILLIAMSON ST, ELIZABETH, NJ 07202-3625
(908) 994-5760
Mailing address
15 GALLOWAE, WATCHUNG, NJ 07069-6413
(908) 222-0503
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA30372
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7585705
—
NJ
Enumeration date
09/28/2006
Last updated
10/26/2009
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