NAMRAH SIDDIQ
Resident Physician


Address: 1282 Boylston St Unit 1423, Boston, MA 02215-4465

NAMRAH SIDDIQ (Credential# 2044168) is licensed (Resident Physician) with Connecticut Department of Consumer Protection. The license effective date is July 1, 2020. The license expiration date date is June 30, 2021. The license status is ACTIVE.

Business Overview

NAMRAH SIDDIQ is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.065524-RES. The credential type is resident physician. The effective date is July 1, 2020. The expiration date is June 30, 2021. The business address is 1282 Boylston St Unit 1423, Boston, MA 02215-4465. The current status is active.

Basic Information

Licensee Name NAMRAH SIDDIQ
Credential ID 2044168
Credential Number 1.065524-RES
Credential Type Resident Physician
Credential SubCategory RES
Business Address 1282 Boylston St Unit 1423
Boston
MA 02215-4465
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2020-07-01
Effective Date 2020-07-01
Expiration Date 2021-06-30
Refresh Date 2020-05-12

Other licenses

ID Credential Code Credential Type Issue Term Status
2005472 CSP.0073120 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2020-06-16 2020-06-16 - 2021-02-28 ACTIVE

Office Location

Street Address 1282 BOYLSTON ST UNIT 1423
City BOSTON
State MA
Zip Code 02215-4465

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Competitor

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City BOSTON
Zip Code 02215
License Type Resident Physician
License Type + County Resident Physician + BOSTON

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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