NPI 1063716520

Sofaine Khelifi

Practitioner Driver Maple Shade, NJ

Practice location

Address: 810 N Fork Lndg Rd Unit 220, Maple Shade, NJ 08052-1059
Phone: (856) 220-7369

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence A0312032 (NJ)

Other Driver providers in New Jersey →

Registry record

NPI: 1063716520
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Dec 2010
Record last updated: 27 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.