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NPI Code Detail

MEDICARE: RIZWAN UL HAQUE MD

MEDICARE:   RIZWAN UL HAQUE  MD
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
1207L00000XAnesthesiology Physician49279MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1B11814OTHERMABCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619977105
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIZWAN UL HAQUE MD
Provider Business Mailing Address
First Line : 60 EAST ST
Second Line : STE 1400
City : METHUEN
State : MA
Zip : 01844-4550
Country : US
Telephone Number : 978-689-4601
Fax Number : 978-689-3096
Provider Business Practice Location Address
First Line : 70 EAST ST
Second Line :
City : METHUEN
State : MA
Zip : 01844-4597
Country : US
Telephone Number : 978-687-0151
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 09/11/2017

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Directions to “ RIZWAN UL HAQUE MD” Practice Location

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