Individual
AMANDA I KHATTAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1197 AMBOY AVE, EDISON, NJ 08837-2536
(732) 549-3875
Mailing address
1197 AMBOY AVE, EDISON, NJ 08837-2536
(732) 549-3875
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03494500
NJ
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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