Individual
DR. GURSIMAR K SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1925 PACIFIC AVE, INTERNAL MEDICINE, ATLANTIC CITY, NJ 08401-6713
(609) 411-8074
Mailing address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
25MA09079800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0304191
—
NJ
Enumeration date
02/19/2009
Last updated
03/20/2015
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