Wamiq Sultan, Inc | |
310 Route 45 Salem NJ 08079-2064 | |
(856) 221-7169 | |
(856) 221-7278 |
Full Name | Wamiq Sultan, Inc |
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Speciality | General Practice |
Location | 310 Route 45, Salem, New Jersey |
Authorized Official Name and Position | Wamiq Sultan (OWNER) |
Authorized Official Contact | 8562217169 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wamiq Sultan, Inc 3241 Sarum Farm Ln Boothwyn PA 19060-2258 Ph: (856) 221-7169 | Wamiq Sultan, Inc 310 Route 45 Salem NJ 08079-2064 Ph: (856) 221-7169 |
NPI Number | 1174926273 |
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Provider Enumeration Date | 10/02/2014 |
Last Update Date | 10/02/2014 |
Identifier | Type | State | Issuer |
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1174926273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | 25MA06336400 (New Jersey) | Primary |
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