Provider Demographics
NPI:1164518734
Name:SINGH, BRIJMOHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIJMOHAN
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 MEADOWS RD
Mailing Address - Street 2:BOCA RATON COMMUNITY HOSPITAL, #1 FAMILY PLACE
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2304
Mailing Address - Country:US
Mailing Address - Phone:561-955-5117
Mailing Address - Fax:561-955-5140
Practice Address - Street 1:BOCA RATON COMMUNITY HOSPITAL , 800 MEADOWS ROAD
Practice Address - Street 2:#1 FAMILY PLACE
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2304
Practice Address - Country:US
Practice Address - Phone:561-955-5117
Practice Address - Fax:561-955-5140
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 653842080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLF65185Medicare UPIN