Provider Demographics
NPI:1942482971
Name:SIDDIQUI, SAFIA ANWAR PASHA (MD)
Entity Type:Individual
Prefix:DR
First Name:SAFIA
Middle Name:ANWAR PASHA
Last Name:SIDDIQUI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:42 E LAUREL RD STE 3100-E
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08084-1354
Mailing Address - Country:US
Mailing Address - Phone:856-566-7070
Mailing Address - Fax:856-566-6333
Practice Address - Street 1:42 E LAUREL RD STE 3100-E
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:NJ
Practice Address - Zip Code:08084-1354
Practice Address - Country:US
Practice Address - Phone:856-566-6409
Practice Address - Fax:856-566-6333
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD457161207RR0500X
NJ25MA09806100207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology