Muhammad Siddique, MD | |
415 Avenel St, Suite A, Avenel, NJ 07001-1147 | |
(732) 750-1180 | |
(732) 750-1182 |
Full Name | Muhammad Siddique |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 415 Avenel St, Avenel, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497784920 | NPI | - | NPPES |
D07463600 | Other | NJ | CDS NUMBER |
7797001 | Medicaid | NJ | |
MA67664 | Other | NJ | STATE LICENCE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | MA67664 (New Jersey) | Primary |
Entity Name | Bayonne Medical Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437382231 PECOS PAC ID: 4284881046 Enrollment ID: O20120829000723 |
Mailing Address | Practice Location Address |
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Muhammad Siddique, MD 8 Hansen Dr, Edison, NJ 08820-1676 Ph: (732) 750-1180 | Muhammad Siddique, MD 415 Avenel St, Suite A, Avenel, NJ 07001-1147 Ph: (732) 750-1180 |
Roma Chokshi, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Saint Georges Ave Ste G, Avenel, NJ 07001 Phone: 732-382-8111 | |
Dr. Gaurang Ramanbhai Patel, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Saint Georges Ave, Avenel, NJ 07001 Phone: 732-382-8111 Fax: 732-382-0292 | |
Dr. Jaini Patel, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1500 Saint Georges Ave Ste G, Avenel, NJ 07001 Phone: 732-382-8111 | |
Dr. Ramarao Gajula, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1500 Saint Georges Ave Ste G, Avenel, NJ 07001 Phone: 732-382-8111 Fax: 732-381-0292 |