Diana Khaitov, PA

NPI #1346564028 in Belleville, New Jersey

Provider Information

NPI Number
1346564028
Entity Type
Individual
Name
Diana Khaitov, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Mar 24, 2010
Last Updated
Mar 24, 2010

Practice Location

Address
1 CLARA MAASS DR
Address 2
CLARA MAASS MEDICAL CENTER
ZIP Code
07109-3550
Phone
(973) 450-2000

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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