Individual
MR. ATIF INAM SIDDIQI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPA-C
Contact information
Practice address
16 CHAMBRY COURT, FREEHOLD, NJ 07728
(732) 637-8003
Mailing address
1 HAMILTON HEALTH PL, HAMILTON, NJ 08690-3542
(609) 584-6666
(609) 584-6428
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
013485
NY
363A00000X
Physician Assistant
25MP00226500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03230917
—
NY
Enumeration date
08/25/2009
Last updated
04/25/2024
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