MEDICARE: FARZAN ULHAQ SIDDIQUI RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	28RI02829000	NJ
2	183500000X	Pharmacist	15578	MD
3	183500000X	Pharmacist	051544	NY
4	183500000X	Pharmacist	RP442293	PA

General Provider Information

NPI Number	:	1447477831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FARZAN ULHAQ SIDDIQUI RPH

Provider Business Mailing Address
First Line	:	5 SOUTHERLAND DR
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-2046
Country	:	US
Telephone Number	:	732-257-3876
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 SOUTHERLAND DR
Second Line	:
City	:	EAST BRUNSWICK
State	:	NJ
Zip	:	08816-2046
Country	:	US
Telephone Number	:	732-257-3876
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	08/16/2023

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