Doctor Name: | DR. MARIA LOURDERS SILVA-KHAZAEI |
NPI Number: | 1588646400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D |
License Number: | MA64906 |
Business Practice Address: | 240 Williamson St Suite 405 Elizabeth, NJ - 072023674 |
Business Phone Number: | 9083532064 |
Business Fax Number: | 9083535052 |
Mailing Address: | 240 Williamson St, Suite 405 ELIZABETH |
State: | NJ |
Postal Code: | 072023674 |
Phone Number: | 9083532064 |
Fax Number: | 9083535052 |
NPI Enumeration Date: | 11/16/2005 |
NPI Last Update Date: | 04/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MA64906 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |