Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 25MB08976500 | NJ |
N | 207VG0400X | Gynecologist | 25MB08976500 | NJ |
NPI | 1164715959 |
---|---|
Provider Name | Khadija Najid |
First Address | Marlton, NJ 08053-4197 |
Second Address | Camden, NJ 08103-3101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2011 |
Last Update Date | 19/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0278149 | (05) | NJ |