Provider Demographics
NPI:1972764256
Name:MATHAROO, GURDEEP SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:GURDEEP
Middle Name:SINGH
Last Name:MATHAROO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 KENT RD
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2452
Mailing Address - Country:US
Mailing Address - Phone:732-364-1505
Mailing Address - Fax:732-364-1509
Practice Address - Street 1:57 KENT RD
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-2452
Practice Address - Country:US
Practice Address - Phone:732-364-1505
Practice Address - Fax:732-364-1509
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09439800208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery