Provider Demographics
NPI:1508914268
Name:SINGH, BRIJENDERA (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:BRIJENDERA
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 VINCENT RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1336
Mailing Address - Country:US
Mailing Address - Phone:917-584-5846
Mailing Address - Fax:973-622-4448
Practice Address - Street 1:673 BROAD ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102-4410
Practice Address - Country:US
Practice Address - Phone:973-642-6298
Practice Address - Fax:973-622-4448
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RI02844100183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist