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Individual

MUHAMMAD SIDDIQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
415 AVENEL ST, SUITE A, AVENEL, NJ 07001-1147
(732) 750-1180
(732) 750-1182
Mailing address
8 HANSEN DR, EDISON, NJ 08820-1676
(732) 750-1180
(732) 750-1182

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA67664
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7797001
NJ
01
D07463600
CDS NUMBER
NJ
01
MA67664
STATE LICENCE
NJ
Enumeration date
06/30/2006
Last updated
03/07/2023
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