Individual
DR. AMMUNDEEP SINGH TAGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSHA, MBA
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-6671
(973) 282-0562
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-6671
(973) 282-0562
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA09663900
NJ
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
25MA09663900
NJ
Other
Enumeration date
04/29/2012
Last updated
09/21/2016
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