Provider Demographics
NPI:1619261674
Name:SINGH, JATINDER K
Entity Type:Individual
Prefix:
First Name:JATINDER
Middle Name:K
Last Name:SINGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4196 US HIGHWAY 1
Mailing Address - Street 2:T-2256
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-1904
Mailing Address - Country:US
Mailing Address - Phone:732-329-5220
Mailing Address - Fax:
Practice Address - Street 1:4196 US HIGHWAY 1
Practice Address - Street 2:T-2256
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-1904
Practice Address - Country:US
Practice Address - Phone:732-329-5220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2011-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ28RIO3412500183500000X
FLPS44153183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist