Provider Demographics
NPI:1639691975
Name:SALEEM, FARIHA (MD)
Entity type:Individual
Prefix:
First Name:FARIHA
Middle Name:
Last Name:SALEEM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 CLYDE RD
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-5040
Mailing Address - Country:US
Mailing Address - Phone:732-873-0330
Mailing Address - Fax:732-873-2077
Practice Address - Street 1:29 CLYDE RD
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-5040
Practice Address - Country:US
Practice Address - Phone:732-873-0330
Practice Address - Fax:732-873-2077
Is Sole Proprietor?:No
Enumeration Date:2017-07-07
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDRL14620207Q00000X
NJ25MA10965400207Q00000X
NDPT16814207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine