Individual
DR. AHMAD FAROOQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.H.S.
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 815-7810
Mailing address
2401 W MAIN ST, MARION VAMC, EXTENDED CARE (123), MARION, IL 62959-1188
(618) 997-5311
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08526900
NJ
207R00000X
Internal Medicine Physician
4301065242
MI
207R00000X
Internal Medicine Physician
MD423423
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA08526900
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301065242
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD423423
PA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
25MA08526900
NJ
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD423423
PA
Other
Enumeration date
08/05/2006
Last updated
05/17/2021
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