Khatiwala, Colleen
Khatiwala, Colleen is an individual health care provider with primary practice located at 3205 Fire Rd , Egg Harbor Township NJ 08234-5884. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Khatiwala, Colleen can be contacted via phone (609) 407-1113.Contact Information
Primary practice address
3205 Fire Rd
Egg Harbor Township NJ 08234-5884
Phone: (609) 407-1113
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA08406300 | New Jersey |
Profile Details
| NPI number | 1679724553 |
|---|---|
| LBN Legal business name | Khatiwala, Colleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2008 |
| Last updated | Oct 9th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679724553 | NPPES |
| New Jersey | Other | 25MA08406300 | STATE LICENSE |
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