Organization
WAMIQ SULTAN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAMIQ SULTAN MD (OWNER)
(856) 221-7169
Entity
Organization
Contact information
Practice address
310 ROUTE 45, SALEM, NJ 08079-2064
(856) 221-7169
(856) 221-7278
Mailing address
3241 SARUM FARM LN, BOOTHWYN, PA 19060-2258
(856) 221-7169
(856) 221-7278
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
25MA06336400
NJ
Other
Enumeration date
10/02/2014
Last updated
10/02/2014
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