Provider Demographics
NPI:1609302314
Name:SINGH, SUJAL (DO)
Entity Type:Individual
Prefix:
First Name:SUJAL
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 WESTFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07208-1325
Mailing Address - Country:US
Mailing Address - Phone:908-691-3800
Mailing Address - Fax:
Practice Address - Street 1:UNION COUNTY HEALTHCARE ASSOCIATES, LLC
Practice Address - Street 2:637 WESTFIELD AVE
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07208
Practice Address - Country:US
Practice Address - Phone:908-691-3800
Practice Address - Fax:908-691-3801
Is Sole Proprietor?:No
Enumeration Date:2017-05-02
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB10895600207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine