Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 25MB06352900 | NJ |
NPI | 1003850314 |
---|---|
Provider Name | Khalid S Sawaged |
First Address | Newark, NJ 07104-3109 |
Second Address | Newark, NJ 07104-3109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 17/03/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
7562501 | (05) | NJ |
G67471 | (02) |