Individual
TAHIR FAROOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1245 WHITEHORSE MERCERVILLE RD, SUITE 411, MERCERVILLE, NJ 08619-3831
(609) 581-2000
(609) 581-5450
Mailing address
1245 WHITEHORSE MERCERVILLE RD, SUITE 411, MERCERVILLE, NJ 08619-3831
(609) 581-2000
(609) 581-5450
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
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