Individual
DR. MUNTASIR KHALED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
417 MEMORIAL PKWY, BLOOMFIELD, NJ 07003-4266
(973) 570-8819
Mailing address
417 MEMORIAL PKWY, BLOOMFIELD, NJ 07003-4266
(973) 570-8819
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00347000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
02/05/2018
Last updated
06/11/2019
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