Individual
FARAZ AHMED SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840
(570) 887-2847
(570) 887-2508
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD449517
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1028680940001
—
PA
Enumeration date
08/27/2010
Last updated
10/01/2018
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