Organization
CENTER FOR NEUROSCIENCE PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. M FARHAN SIDDIQUI M.D. (PRESIDENT)
(561) 638-8872
Entity
Organization
Contact information
Practice address
16244 MILITARY TRL STE 150, DELRAY BEACH, FL 33484-6505
(561) 638-8872
(561) 638-8874
Mailing address
16244 S MILITARY TRL, SUITE 150, DELRAY BEACH, FL 33484-6534
(561) 638-8872
(561) 638-8874
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
PY6865
FL
103T00000X
Psychologist
PY6865
FL
103TC0700X
Clinical Psychologist
PY6865
FL
2084N0400X
Neurology Physician
Primary
ME72476
FL
Other
Enumeration date
03/13/2007
Last updated
03/02/2010
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