Provider Demographics
NPI:1225080229
Name:HUQ, IRFAN UL (MD)
Entity Type:Individual
Prefix:DR
First Name:IRFAN
Middle Name:UL
Last Name:HUQ
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:1235 WHITEHORSE MERCERVILLE RD
Mailing Address - Street 2:STE 306
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3810
Mailing Address - Country:US
Mailing Address - Phone:609-587-3003
Mailing Address - Fax:609-587-4512
Practice Address - Street 1:1235 WHITEHORSE MERCERVILLE RD
Practice Address - Street 2:STE 306
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-3810
Practice Address - Country:US
Practice Address - Phone:609-587-3003
Practice Address - Fax:609-587-4512
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2016-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA029920207R00000X
PAMD436267207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2919109Medicaid
C61252Medicare UPIN
128882NXPMedicare PIN