Provider Demographics
NPI:1780091736
Name:SUKHWINDER K. HUNDLE M.D., P.A.
Entity type:Organization
Organization Name:SUKHWINDER K. HUNDLE M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SUKHWINDER
Authorized Official - Middle Name:K
Authorized Official - Last Name:HUNDLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-739-3555
Mailing Address - Street 1:721 N BEERS ST STE 1A
Mailing Address - Street 2:
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1500
Mailing Address - Country:US
Mailing Address - Phone:732-739-3555
Mailing Address - Fax:732-845-0226
Practice Address - Street 1:721 N BEERS ST STE 1A
Practice Address - Street 2:
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1500
Practice Address - Country:US
Practice Address - Phone:732-739-3555
Practice Address - Fax:732-845-0226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric MedicineGroup - Multi-Specialty