Individual
SUPREET K GREWAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 235-6444
Mailing address
125 PATERSON ST STE 3100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-6444
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10533500
NJ
207R00000X
Internal Medicine Physician
125.067224
IL
Other
Enumeration date
06/22/2015
Last updated
07/26/2019
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