Individual
DR. LUAI KHALIL TABAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BRACE RD STE C1, CHERRY HILL, NJ 08034-2600
(856) 428-4100
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9329
IA
207RI0011X
Interventional Cardiology Physician
Primary
25MA10699900
NJ
Other
Enumeration date
04/24/2012
Last updated
10/28/2024
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