Provider Demographics
NPI:1003337650
Name:GREWAL, PARNEET KAUR (MD)
Entity Type:Individual
Prefix:
First Name:PARNEET
Middle Name:KAUR
Last Name:GREWAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 STELTON RD
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5201
Mailing Address - Country:US
Mailing Address - Phone:848-230-6810
Mailing Address - Fax:848-230-6832
Practice Address - Street 1:1080 STELTON RD
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5201
Practice Address - Country:US
Practice Address - Phone:848-230-6810
Practice Address - Fax:848-230-6832
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10848700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine