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Individual

MRS. KHADIJA FAROOQ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
3 HOSPITAL PLZ STE 200, OLD BRIDGE, NJ 08857-3084
(732) 360-4085
(732) 360-4086
Mailing address
5 FLEET ST, NORTH BRUNSWICK, NJ 08902-5030
(219) 487-4215

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB11556500
NJ

Other

Enumeration date
04/02/2019
Last updated
02/15/2024
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