Khaladj, Morteza
Khaladj, Morteza is an individual health care provider with primary practice located at 240 Williamson St Suite 200 , Elizabeth NJ 07202. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Khaladj, Morteza can be contacted via phone (908) 353-1777.Contact Information
Primary practice address
240 Williamson St Suite 200
Elizabeth NJ 07202
Phone: (908) 353-1777
Fax: (908) 355-4400
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 25MD00179900 | New Jersey |
Profile Details
NPI number | 1124055116 |
---|---|
LBN Legal business name | Khaladj, Morteza |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2006 |
Last updated | Oct 28th, 2010 - about 14 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 | 1124055116 | NPPES |
New Jersey | MEDICAID | 1442902 |
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