Harris, Sameerah Siddequah

Harris, Sameerah Siddequah is an individual health care provider with primary practice located at 3003 English Creek Ave Ste C6 , Egg Harbor Township NJ 08234-4818. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Harris, Sameerah Siddequah can be contacted via phone (609) 481-3185.

Contact Information

Primary practice address
3003 English Creek Ave Ste C6 Egg Harbor Township NJ 08234-4818
Phone: (609) 481-3185
Fax: (609) 569-0104
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00463700 New Jersey

Profile Details

NPI number 1366781569
LBN Legal business name Harris, Sameerah Siddequah
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2013
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366781569 NPPES
New Jersey MEDICAID 0399442

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