Individual
DR. TAHERA MISHAL KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
509 STILLWELLS CORNER RD STE E5, FREEHOLD, NJ 07728-2965
(732) 431-3312
Mailing address
323 UNION HILL RD, MANALAPAN, NJ 07726-1800
(732) 567-2472
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00691800
NJ
Other
Enumeration date
08/08/2019
Last updated
12/31/2019
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