Provider Demographics
NPI:1447477831
Name:SIDDIQUI, FARZAN ULHAQ (RPH)
Entity type:Individual
Prefix:
First Name:FARZAN
Middle Name:ULHAQ
Last Name:SIDDIQUI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SOUTHERLAND DR
Mailing Address - Street 2:
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-2046
Mailing Address - Country:US
Mailing Address - Phone:732-257-3876
Mailing Address - Fax:
Practice Address - Street 1:5 SOUTHERLAND DR
Practice Address - Street 2:
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-2046
Practice Address - Country:US
Practice Address - Phone:732-257-3876
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02829000183500000X
MD15578183500000X
NY051544183500000X
PARP442293183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist