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Contact Information

IMTIAZUDDIN M SIDDIQUI, MD
510 HAMBURG TURNPIKE
SUITE E106
WAYNE, NJ07470
 Phone: 973-904-3161
 Fax: 973-904-3168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for IMTIAZUDDIN M SIDDIQUI · (Male)

NPI # 1851477186
Status Active
Credentials MD
Entity Individual
Enumeration date 10/30/2006
Last updated 03/27/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # MA041078
  • NJ Medicaid 7833008
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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