Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 25MD00336100 | NJ |
N | 213ES0103X | Foot & Ankle Surgery | 25MD00336100 | NJ |
NPI | 1366844870 |
---|---|
Provider Name | Urwah Haq |
First Address | Marlton, NJ 08053-0468 |
Second Address | Tabernacle, NJ 08088-8801 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2014 |
Last Update Date | 05/12/2017 |