Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301088593 | MI |
N | 2081P2900X | Pain Medicine | 4301088593 | MI |
N | 2081S0010X | Sports Medicine | 4301088593 | MI |
N | 213ES0000X | Sports Medicine | 4301088593 | MI |
NPI | 1063659613 |
---|---|
Provider Name | Dr. Gurtej Singh |
First Address | Boston, MA 02241-8953 |
Second Address | Towson, MD 21204-5827 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2009 |
Last Update Date | 05/12/2011 |