Organization
CRESCENT MULISPECIALITY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHID WASEEM FAROOQUI M.D. (PRESIDENT)
(732) 747-4723
Entity
Organization
Contact information
Practice address
20 WHITE RD, SUITE B, SHREWSBURY, NJ 07702-4039
(732) 747-4723
(732) 747-5998
Mailing address
20 WHITE RD STE B, SHREWSBURY, NJ 07702-4039
(732) 747-4723
(732) 747-5998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA50568
NJ
Other
Enumeration date
03/20/2006
Last updated
07/01/2009
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