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Contact Information

MARYANN KHOUDARY
99 BEAUVOIR AVE
SUMMIT, NJ07901-3533
 Phone: 908-522-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Hospice and Palliative Medicine

207VH0002X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for MARYANN KHOUDARY · (Female)

NPI # 1578686424
Status Active
Credentials
Entity Individual
Enumeration date 04/07/2007
Last updated 09/24/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # MA69077
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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