Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 27OA00689700 | NJ |
NPI | 1013560077 |
---|---|
Provider Name | Dr. Jayswinder Kaur |
First Address | Carteret, NJ 07008-2746 |
Second Address | Irvington, NJ 07111-3501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2019 |
Last Update Date | 18/07/2019 |