Individual
DR. TARIQ S. SIDDIQI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 SHEPPARD ROAD, SUITE 900, VOORHEES, NJ 08043-4520
(856) 751-6600
(856) 751-5556
Mailing address
70 BORTONS RD, MARLTON, NJ 08053-5403
(856) 768-5506
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
25MA03599600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972103
—
NJ
01
—
222833407
HMO & PPO ID
NJ
Enumeration date
06/05/2006
Last updated
01/14/2013
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