Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | DO7431600 | NJ |
NPI | 1053484709 |
---|---|
Provider Name | Dr. Vimi Khattar |
First Address | Gillette, NJ 07933-0163 |
Second Address | Somerville, NJ 08876-3109 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/11/2006 |
Last Update Date | 08/07/2007 |