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Individual

MUSTAQUIM FARUQ CHOWDHURY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 22412
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207R00000X
INTERNAL MEDICINE TAXONOM
05
288211
OR
01
MD22412
STATE MEDICAL LICENSE
OR
Enumeration date
08/19/2006
Last updated
05/30/2008
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