Provider Demographics
NPI:1891966024
Name:SINGH, SURBPARKASH KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:SURBPARKASH
Middle Name:KAUR
Last Name:SINGH
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 HARBORSIDE PL
Mailing Address - Street 2:APT 408
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07311-3908
Mailing Address - Country:US
Mailing Address - Phone:973-568-5277
Mailing Address - Fax:
Practice Address - Street 1:150 RIVER RD
Practice Address - Street 2:SUITE N1
Practice Address - City:MONTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07045-9441
Practice Address - Country:US
Practice Address - Phone:973-263-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-15
Last Update Date:2008-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08284200208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics