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Shady A Khalil
Student in an Organized Health Care Education/Training Program in Newark, New Jersey
NPI 1952152761

Shady A Khalil is a Student in an Organized Health Care Education/Training Program based in Newark, NJ. Shady A Khalil practices in Newark, NJ. The NPI Number for Shady A Khalil is 1952152761 and holds a License No. (New Jersey).

The current practice location address for Shady A Khalil is 201 Lyons Ave, Newark, NJ and can be reached out via phone at 973-926-7642.

Location: 201 Lyons Ave, Newark, NJ, 07112-2027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952152761
Provider Name
Shady A Khalil
Credential
Provider Entity Type
Individual
Gender
Male
Address
201 Lyons Ave, Newark, NJ, 07112-2027
Phone Number
973-926-7642
Fax Number
Provider Enumeration Date
03/29/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
201 Lyons Ave
City
Newark
State
New Jersey
Zip
07112-2027
Phone Number
973-926-7642
Fax Number
person
Provider Business Mailing Address Details
Address
201 Lyons Ave
City
Newark
State
New Jersey
Zip
07112-2027
Phone Number
973-926-7642
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(New Jersey)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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