Individual
SHAHIDA SIDDIQUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 SOUTHARD ST, TRENTON, NJ 08609-1020
(609) 394-3202
(609) 278-6139
Mailing address
80 BROPHY DR, EWING, NJ 08638-1242
(609) 532-1794
(609) 882-1038
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MA03845300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0193062
—
NJ
Enumeration date
11/29/2006
Last updated
12/15/2015
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