Individual
DR. SHAHID N HAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
218 COMMONSWAY, BLDG B, TOMS RIVER, NJ 08755
(732) 244-4448
(732) 244-4818
Mailing address
218 COMMONSWAY, BLDG B, TOMS RIVER, NJ 08755
(732) 244-4448
(732) 244-4818
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MA 032179
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-2321871
TAX ID
NJ
Enumeration date
10/02/2006
Last updated
07/08/2007
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