Organization
JAVED ILYAS SIDDIQI, M.D. LLC
Active
Parent organization
JAVED I SIDDIQI, M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
JAVED I SIDDIQI, M.D.
Authorized official
JOAN CAMPBELL (BILLING MANAGER)
(978) 244-0019
Entity
Organization
Contact information
Practice address
380 MERRIMACK ST, SUITE 2C, METHUEN, MA 01844-5870
(978) 689-0033
(978) 682-0033
Mailing address
380 MERRIMACK ST, SUITE 2C, METHUEN, MA 01844-5870
(978) 689-0033
(978) 682-0033
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
56836
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110043613A
—
MA
Enumeration date
10/03/2016
Last updated
01/03/2018
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