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Individual

TAJAMMUL SHAFIQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
25 COUNTRY CLUB RD, VILLAGE WEST, BUILDING 7, GILFORD, NH 03249-6972
(603) 528-1547
(603) 524-5536
Mailing address
PO BOX 1328, AUBURN, ME 04211-1328
(207) 784-9185
(207) 784-1594

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
9747
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30009821
NH
Enumeration date
11/08/2006
Last updated
04/06/2018
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