Provider Demographics
NPI:1225265820
Name:TIWANA, MANPREET KAUR (MD)
Entity Type:Individual
Prefix:
First Name:MANPREET
Middle Name:KAUR
Last Name:TIWANA
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 1:1 E. NEW YORK AVE
Mailing Address - Street 2:4TH FLOOR ADMIN
Mailing Address - City:SOMERS POINT
Mailing Address - State:NJ
Mailing Address - Zip Code:08244-3902
Mailing Address - Country:US
Mailing Address - Phone:609-653-3265
Mailing Address - Fax:
Practice Address - Street 1:700 SHORE RD
Practice Address - Street 2:
Practice Address - City:SOMERS POINT
Practice Address - State:NJ
Practice Address - Zip Code:08244-2332
Practice Address - Country:US
Practice Address - Phone:096-653-3500
Practice Address - Fax:609-926-4311
Is Sole Proprietor?:No
Enumeration Date:2009-06-22
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09438400207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology