Individual
SHAZIA MEHMOOD SIDDIQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 CIVIC CENTER BLVD, 7TH FL, PHILADELPHIA, PA 19104-5127
(215) 349-8222
(215) 662-6530
Mailing address
3400 CIVIC CENTER BLVD, 7TH FL, PHILADELPHIA, PA 19104-5127
(215) 349-8222
(215) 662-6530
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD458029
PA
Other
Enumeration date
06/07/2012
Last updated
05/07/2018
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