Individual
DR. IMRAN UL HAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 MAGNOLIA AVENUE, SUITE E, BRIDGETON, NJ 08302
(856) 455-2399
(856) 451-7791
Mailing address
10 MAGNOLIA AVENUE, SUITE E, BRIDGETON, NJ 08302
(856) 455-2399
(856) 451-7791
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA76219
NJ
208600000X
Surgery Physician
Q9822
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0062260
—
NJ
Enumeration date
05/19/2006
Last updated
06/18/2024
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