Provider Demographics
NPI:1194346296
Name:FAROOQUI, SALMAN (OD)
Entity type:Individual
Prefix:DR
First Name:SALMAN
Middle Name:
Last Name:FAROOQUI
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 HIGHWAY 35 STE 2106
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2017
Mailing Address - Country:US
Mailing Address - Phone:732-460-1010
Mailing Address - Fax:
Practice Address - Street 1:180 HIGHWAY 35 STE 2106
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-2017
Practice Address - Country:US
Practice Address - Phone:732-460-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-29
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00696500152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist