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Organization
IMRAN U SIDDIQUI DO PA
Active
Organization
IMRAN U SIDDIQUI DO PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMRAN UDDIN SIDDIQUI DO (PRESIDENT)
(954) 257-7307
Entity
Organization
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(954) 257-7307
Mailing address
PO BOX 245633, PEMBROKE PINES, FL 33024-0110
(954) 257-7307
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS9287
FL
Other
Enumeration date
03/19/2010
Last updated
07/16/2010
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