Siddiqui, Imtiazuddin M
Siddiqui, Imtiazuddin M is an individual health care provider with primary practice located at 510 Hamburg Turnpike Suite E106, Wayne NJ 07470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Siddiqui, Imtiazuddin M can be contacted via phone (973) 904-3161.Contact Information
Primary practice address
510 Hamburg Turnpike Suite E106
Wayne NJ 07470
Phone: (973) 904-3161
Fax: (973) 904-3168
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MA041078 | New Jersey |
Profile Details
| NPI number | 1851477186 |
|---|---|
| LBN Legal business name | Siddiqui, Imtiazuddin M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2006 |
| Last updated | Mar 27th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851477186 | NPPES |
| New Jersey | MEDICAID | 7833008 |
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