Organization
DR MAHBUBUR SIDDIQUE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAHBUBUR SIDDIQUE (OWNER)
(917) 912-0987
Entity
Organization
Contact information
Practice address
777 BLACKWOOD ROAD, UNIT B, LINDENWOLD, NJ 08021
(917) 912-0987
Mailing address
777 CLEMENTON BLACKWOOD ROAD, UNIT B, LINDENWOLD, NJ 08021
(917) 912-0987
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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