Provider Demographics
NPI:1689602591
Name:BRAR, BALDEV SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:BALDEV
Middle Name:SINGH
Last Name:BRAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1031 MCBRIDE AVE
Mailing Address - Street 2:SUITE D106
Mailing Address - City:WOODLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07424-2559
Mailing Address - Country:US
Mailing Address - Phone:973-785-2050
Mailing Address - Fax:973-785-2423
Practice Address - Street 1:1031 MCBRIDE AVE
Practice Address - Street 2:SUITE D106
Practice Address - City:WOODLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07424-2559
Practice Address - Country:US
Practice Address - Phone:973-785-2050
Practice Address - Fax:973-785-2423
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJMA25830207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4908902Medicaid
NJ4908902Medicaid
NJ137538A7UMedicare ID - Type Unspecified