Individual
ENAMUL HOQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-2117
Mailing address
3386 12TH AVE APT 2, BROOKLYN, NY 11218-2102
(347) 653-8920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
010626
NY
363AS0400X
Surgical Physician Assistant
Primary
25MP00145100
NJ
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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