Organization
139 MEDICAL FACILITY P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD HAQUE JR. MD (DOCTOR)
(212) 283-2099
Entity
Organization
Contact information
Practice address
3418 BROADWAY, NEW YORK, NY 10031-7419
(212) 283-2099
Mailing address
3418 BROADWAY, NEW YORK, NY 10031-7419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
238067
NY
208000000X
Pediatrics Physician
122027
NY
Other
Enumeration date
03/26/2008
Last updated
08/04/2009
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