Individual
DR. KHADIJEH KADIVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856
Mailing address
579A CRANBURY RD, EAST BRUNSWICK, NJ 08816-5426
(732) 390-0040
(732) 390-1856
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09740000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481076
—
NJ
Enumeration date
02/13/2009
Last updated
01/25/2022
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