Dr Mahbubur Siddique, MD | |
90 Brick Rd Fl 3, Marlton, NJ 08053-2177 | |
(856) 355-6000 | |
(856) 355-6731 |
Full Name | Dr Mahbubur Siddique |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 34 Years |
Location | 90 Brick Rd Fl 3, Marlton, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013168467 | NPI | - | NPPES |
0191884 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25MA08472600 (New Jersey) | Secondary |
208M00000X | Hospitalist | 25MA08472600 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Virtua West Jersey Hospitals | Voorhees, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Virtua Medical Group, Pa | 9830222397 | 1260 |
Entity Name | Cooper Physician Offices Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154369510 PECOS PAC ID: 2860396611 Enrollment ID: O20031122000067 |
Entity Name | Apogee Medical Group Of New Jersey Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104873629 PECOS PAC ID: 8224086103 Enrollment ID: O20050107000014 |
Entity Name | Virtua Medical Group, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
Mailing Address | Practice Location Address |
---|---|
Dr Mahbubur Siddique, MD 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Dr Mahbubur Siddique, MD 90 Brick Rd Fl 3, Marlton, NJ 08053-2177 Ph: (856) 355-6000 |
Marrian Sedrak, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 | |
Michael Steven Boulos, Hospitalist Medicare: Medicare Enrolled Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 Fax: 856-355-6731 | |
David Arveladze, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 | |
Heather M. Giannini, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: Renaissance Square., 141 Route 70, Suite B, Marlton, NJ 08053 Phone: 856-596-9057 Fax: 856-596-0837 | |
Shapour Steve Mirmanesh, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12000 Lincoln Drive West, Suite 405, Marlton, NJ 08053 Phone: 856-985-0203 Fax: 856-985-0010 | |
Lucinda Fisher, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 Fax: 856-355-6731 | |
Ali M Mustafa, Hospitalist Medicare: Not Enrolled in Medicare Practice Location: Renaissance Square, 141 Route 70, Suite B, Marlton, NJ 08053 Phone: 856-596-9057 Fax: 856-596-0837 |