person
Anita Khawaja, BS
Methadone Clinic in Newark, New Jersey
NPI 1780013953

Anita Khawaja is a Methadone Clinic based in Newark, NJ and is specialized in Methadone. Anita Khawaja practices in Newark, NJ and has the professional credentials of BS. The NPI Number for Anita Khawaja is 1780013953 and holds a License No. 2000172 (New Jersey).

The current practice location address for Anita Khawaja is 687 Frelinghuysen Ave, Newark, NJ and can be reached out via phone at 973-799-0508.

Location: 687 Frelinghuysen Ave, Newark, NJ, 07114-1349
person
Provider Profile Details
NPI Number
1780013953
Provider Name
Anita Khawaja
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
687 Frelinghuysen Ave, Newark, NJ, 07114-1349
Phone Number
973-799-0508
Fax Number
Provider Enumeration Date
11/07/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0062821 05 NJ
7466200 05 NJ
institution
Provider Business Practice Location Address Details
Address
687 Frelinghuysen Ave
City
State
Zip
07114-1334
Phone Number
973-799-0508
Fax Number
person
Provider Business Mailing Address Details
Address
687 Frelinghuysen Ave
City
State
Zip
07114-1334
Phone Number
973-799-0508
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
License No.
2000172 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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