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Individual

DR. KHALDOON TAREQ HUSNI KHIRFAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
41 MALL RD, BURLINGTON, MA 01805-3201
(781) 744-8000
Mailing address
PROVIDER ENROLLMENT 41 MALL ROAD, BURLINGTON, MA 01805-0001

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
277080
MA
207RG0100X
Gastroenterology Physician
A140888
CA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/28/2010
Last updated
08/11/2023
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