| Dr Mahbubur Siddique, MD | |
|
90 Brick Rd Fl 3, Marlton, NJ 08053-2177 | |
| (856) 355-6000 | |
| (856) 355-6731 |
| Full Name | Dr Mahbubur Siddique |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 35 Years |
| Location | 90 Brick Rd Fl 3, Marlton, New Jersey |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013168467 | NPI | - | NPPES |
| 0191884 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25MA08472600 (New Jersey) | Secondary |
| 208M00000X | Hospitalist | 25MA08472600 (New Jersey) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Virtua West Jersey Hospitals | Voorhees, NJ | Hospital |
| Virtua Our Lady Of Lourdes Hospital | Camden, NJ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Virtua Medical Group, Pa | 9830222397 | 1498 |
| Entity Name | Cooper Physician Offices Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154369510 PECOS PAC ID: 2860396611 Enrollment ID: O20031122000067 |
| Entity Name | Virtua Medical Group, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mahbubur Siddique, MD 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Dr Mahbubur Siddique, MD 90 Brick Rd Fl 3, Marlton, NJ 08053-2177 Ph: (856) 355-6000 |
Michael Steven Boulos, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 Fax: 856-355-6731 | |
David Arveladze, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 | |
Heather M. Giannini, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Renaissance Square., 141 Route 70, Suite B, Marlton, NJ 08053 Phone: 856-596-9057 Fax: 856-596-0837 | |
Shapour Steve Mirmanesh, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 12000 Lincoln Drive West, Suite 405, Marlton, NJ 08053 Phone: 856-985-0203 Fax: 856-985-0010 | |
Lucinda Fisher, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 Fax: 856-355-6731 | |
Felrita Watkins, AGACNP-BC Hospitalist Medicare: Not Enrolled in Medicare Practice Location: 90 Brick Rd Fl 3, Marlton, NJ 08053 Phone: 856-355-6000 | |
Ali M Mustafa, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: Renaissance Square, 141 Route 70, Suite B, Marlton, NJ 08053 Phone: 856-596-9057 Fax: 856-596-0837 |