Individual
SIRAJ U SIDDIQUI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
238 N MAIN ST, WELLSVILLE, NY 14895-1046
(585) 593-0400
(585) 593-0700
Mailing address
238 N MAIN ST, WELLSVILLE, NY 14895-1046
(585) 593-0400
(585) 593-0700
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
123278
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00604971
—
NY
Enumeration date
06/01/2005
Last updated
07/08/2007
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