Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 25MA11244200 | NJ |
NPI | 1114306347 |
---|---|
Provider Name | Preetpaul Singh Bagi |
First Address | San Diego, CA 92193-2410 |
Second Address | Franklin Lakes, NJ 07417-1306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2015 |
Last Update Date | 05/01/2022 |