Individual
DR. GURPAUL SINGH BAJWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3510 JOHNSON STREET, HOLLYWOOD, FL 33021-1575
(860) 716-2378
Mailing address
3510 JOHNSON STREET, HOLLYWOOD, FL 33021-1575
(860) 716-2378
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
119615
FL
282N00000X
General Acute Care Hospital
119615
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/24/2011
Last updated
05/09/2017
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