Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 25MA10848700 | NJ |
NPI | 1003337650 |
---|---|
Provider Name | Parneet Kaur Grewal |
First Address | Piscataway, NJ 08854-5201 |
Second Address | Piscataway, NJ 08854-5201 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2017 |
Last Update Date | 20/07/2021 |