Individual
TAHIR FAROOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA08239100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138878
—
NJ
01
—
25MA08239100
MEDICAL LICENSE
NJ
01
—
440002476
RAILROAD MEDICARE
NJ
Enumeration date
05/16/2007
Last updated
05/15/2008
Update your record
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