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Individual

ABDUL R SIDDIQUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
202 N DIVISION ST STE 301, AUBURN, WA 98001-4939
(253) 288-3040
Mailing address
202 N DIVISION ST STE 301, AUBURN, WA 98001-4939
(253) 288-3040

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
35-069270
OH
207RI0200X
Infectious Disease Physician
Primary
MD60266117
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2673067
OH
Enumeration date
06/06/2006
Last updated
09/27/2012
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