Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 25MA09259500 | NJ |
NPI | 1205097581 |
---|---|
Provider Name | Dr. Manpreet K Kohli |
First Address | Long Branch, NJ 07740-6303 |
Second Address | Long Branch, NJ 07740-6303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/06/2008 |
Last Update Date | 08/07/2015 |