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NPI Code Detail

MEDICARE: ORANGE PHYSICIANS PC

MEDICARE: ORANGE PHYSICIANS PC
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
1261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1902550528
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORANGE PHYSICIANS PC
Provider Business Mailing Address
First Line : 110 SQUIRE HILL RD
Second Line :
City : MONTCLAIR
State : NJ
Zip : 07043-2516
Country : US
Telephone Number : 973-370-4000
Fax Number : 973-370-4040
Provider Business Practice Location Address
First Line : 205 S ESSEX AVE STE 201
Second Line :
City : ORANGE
State : NJ
Zip : 07050-3401
Country : US
Telephone Number : 973-922-1100
Fax Number : 973-370-4040
Authorized Official
Title or Position : OWNER
Name : DR. IQBAL SIDDIQUI
Credential : DO
Telephone Number : 973-922-1100
Provider Enumeration Date : 02/11/2022
Last Update Date : 01/05/2023

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