Provider Demographics
NPI:1093883597
Name:SINGH, VARINDER (MD)
Entity Type:Individual
Prefix:
First Name:VARINDER
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
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:PO BOX 32
Mailing Address - Street 2:
Mailing Address - City:WICKATUNK
Mailing Address - State:NJ
Mailing Address - Zip Code:07765-0032
Mailing Address - Country:US
Mailing Address - Phone:732-452-0400
Mailing Address - Fax:732-452-0450
Practice Address - Street 1:215 BRIDGE ST
Practice Address - Street 2:BLDG.E
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-2291
Practice Address - Country:US
Practice Address - Phone:732-452-0400
Practice Address - Fax:732-452-0450
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA05946100207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6001602Medicaid
NJ036668Medicare ID - Type UnspecifiedMDCR #
NJF69922Medicare UPIN