Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | 40QA01554300 | NJ |
Y | 2251X0800X | Physical Therapist - Orthopedic | 40QA01554300 | NJ |
NPI | 1033528187 |
---|---|
Provider Name | Dr. Sukhmeet Singh |
First Address | Clark, NJ 07066-1560 |
Second Address | Clark, NJ 07066-1560 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2014 |
Last Update Date | 02/08/2014 |