Individual
DR. ASIF SIDDIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1234 FOOTHILL BLVD, LA VERNE, CA 91750-3329
(909) 596-4879
(909) 596-9199
Mailing address
1234 FOOTHILL BLVD, LA VERNE, CA 91750-3329
(909) 596-4879
(909) 596-9199
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116022902
VA
Other
Enumeration date
06/29/2010
Last updated
03/23/2017
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