Individual
DR. ANUM KHAN SIDDIQUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
130 S BRYN MAWR AVE, BRYN MAWR, PA 19010-3121
(484) 337-4097
(484) 337-4082
Mailing address
10800 KNIGHTS RD, PHILADELPHIA, PA 19114-4200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OS019663
PA
207R00000X
Internal Medicine Physician
Primary
OS019663
PA
Other
Enumeration date
05/26/2016
Last updated
06/30/2021
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