Individual
SIDRA HAQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
34 COLSON LN, MULLICA HILL, NJ 08062-1502
(856) 223-8930
Mailing address
34 COLSON LN, MULLICA HILL, NJ 08062-1502
(856) 223-8930
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MB12613600
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/05/2021
Last updated
07/01/2025
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