Siddique, Mahbubur
Siddique, Mahbubur is an individual health care provider with primary practice located at 90 Brick Rd Fl 3 , Marlton NJ 08053-2177. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Siddique, Mahbubur can be contacted via phone (856) 355-6000.Contact Information
Primary practice address
90 Brick Rd Fl 3
Marlton NJ 08053-2177
Phone: (856) 355-6000
Fax: (856) 355-6731
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA08472600 | New Jersey |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 25MA08472600 | New Jersey |
Profile Details
| NPI number | 1013168467 |
|---|---|
| LBN Legal business name | Siddique, Mahbubur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2008 |
| Last updated | Jan 26th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013168467 | NPPES |
| New Jersey | MEDICAID | 0191884 |
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