Individual
EFAZA UMAR SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655
(508) 334-1000
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
76539
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/16/2018
Last updated
07/01/2024
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