Ghanem, Siham Taftaf

Ghanem, Siham Taftaf is an sole proprietor health care provider with primary practice located at 91 Main St , Paterson NJ 07505-1026. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Ghanem, Siham Taftaf can be contacted via phone (973) 278-9600.

Contact Information

Primary practice address
91 Main St Paterson NJ 07505-1026
Phone: (973) 278-9600
Fax: (973) 278-9600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA02943000 New Jersey
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X 25MA02943000 New Jersey

Profile Details

NPI number 1053494625
LBN Legal business name Ghanem, Siham Taftaf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Nov 30th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053494625 NPPES
New Jersey MEDICAID 2011204

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