# WAMIQ SULTAN, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174926273
- **Authorized official:** DR. WAMIQ SULTAN MD (OWNER)
- **Authorized official phone:** (856) 221-7169

## Contact information

- **Practice address:** 310 ROUTE 45, SALEM, NJ 08079-2064
- **Practice address phone:** (856) 221-7169
- **Practice address fax:** (856) 221-7278
- **Mailing address:** 3241 SARUM FARM LN, BOOTHWYN, PA 19060-2258
- **Mailing address phone:** (856) 221-7169
- **Mailing address fax:** (856) 221-7278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 25MA06336400 | NJ | Yes |

## Other

- **Enumeration date:** 10/02/2014
- **Last updated:** 10/02/2014