Organization
SULTAN SERETIS BUSSEY HOSPITALIST LLC
Active
Other names
SSB Hospitalist
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAMIQ SULTAN MD (OWNER/PARTNER)
(856) 912-0412
Entity
Organization
Contact information
Practice address
310 ROUTE 45, SALEM, NJ 08079-2064
(856) 912-0412
(856) 221-7278
Mailing address
PO BOX 461, SALEM, NJ 08079-0461
(856) 912-0412
(856) 221-7278
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA06336400
NJ
Other
Enumeration date
07/16/2013
Last updated
01/02/2015
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