Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MA39665 | NJ |
NPI | 1003867219 |
---|---|
Provider Name | Dr. Jasvinder Singh |
First Address | Warren, NJ 07059-2632 |
Second Address | Warren, NJ 07059-2632 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 27/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1188801 | (05) | NJ |
D18922 | (02) | NJ |