Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA10659700 | NJ |
NPI | 1083037915 |
---|---|
Provider Name | Sandeep Kour |
First Address | Emerson, NJ 07630-1368 |
Second Address | Emerson, NJ 07630-1368 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/01/2014 |
Last Update Date | 22/08/2019 |