Individual
EHTESHAMUL HAQUE ANJUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 741-3814
(608) 741-3816
Mailing address
903 MINERAL POINT AVE, JANESVILLE, WI 53548-2970
(608) 741-3814
(608) 741-3816
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
60106-20
WI
207RN0300X
Nephrology Physician
Primary
ME97863
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278131000
—
FL
Enumeration date
03/30/2007
Last updated
10/07/2013
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