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NPI Code Detail

MEDICARE: DR. SYED AZHAR SIDDIQ M.D.

MEDICARE: DR. SYED AZHAR SIDDIQ M.D.
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
1207R00000XInternal Medicine PhysicianMA062636NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1578501565
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SYED AZHAR SIDDIQ M.D.
Provider Business Mailing Address
First Line : 190 GREENBROOK RD
Second Line :
City : NORTH PLAINFIELD
State : NJ
Zip : 07060-3903
Country : US
Telephone Number : 908-756-5206
Fax Number : 908-756-5214
Provider Business Practice Location Address
First Line : 190 GREENBROOK RD
Second Line :
City : NORTH PLAINFIELD
State : NJ
Zip : 07060-3903
Country : US
Telephone Number : 908-756-5206
Fax Number : 908-756-5214
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2006
Last Update Date : 01/04/2010

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