Wamiq Sultan, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

25MA06336400 Issued in NJ

Legal business name

WAMIQ SULTAN, INC

Practice address

310 Route 45
Salem, NJ 08079-2064

Phone

(856) 221-7169

Fax

(856) 221-7278

NPI assigned

Oct 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Wamiq Sultan, MD

Title

Owner

Phone

(856) 221-7169

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1174926273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3241 SARUM FARM LN",
            "city": "BOOTHWYN",
            "state": "PA",
            "postal_code": "190602258",
            "telephone_number": "856-221-7169",
            "fax_number": "856-221-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ROUTE 45",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792064",
            "telephone_number": "856-221-7169",
            "fax_number": "856-221-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAMIQ SULTAN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "SULTAN",
        "authorized_official_first_name": "WAMIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-221-7169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "NJ",
            "license": "25MA06336400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Salem, NJ
• Providers in Salem, NJ by specialty
• General Practice Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.