Provider Demographics
NPI:1922267012
Name:KAUR, HARLEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:HARLEEN
Middle Name:
Last Name:KAUR
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 1:238 ERNSTON RD
Mailing Address - Street 2:
Mailing Address - City:PARLIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08859-1947
Mailing Address - Country:US
Mailing Address - Phone:732-727-5110
Mailing Address - Fax:732-316-2323
Practice Address - Street 1:238 ERNSTON RD
Practice Address - Street 2:
Practice Address - City:PARLIN
Practice Address - State:NJ
Practice Address - Zip Code:08859-1947
Practice Address - Country:US
Practice Address - Phone:732-727-5110
Practice Address - Fax:732-316-2323
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA239839207Q00000X
NJ25MA08765300207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine