Individual
HUSSEIN KILIDDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
66 EAST AVE, WOODSTOWN, NJ 08098-1417
(856) 935-6700
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-417448
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD417448
PA
207RP1001X
Pulmonary Disease Physician
Primary
25MA07901200
NJ
207RP1001X
Pulmonary Disease Physician
MD417448
PA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
MD-417448
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100819671 0002
—
PA
Enumeration date
08/17/2006
Last updated
11/09/2020
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