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Individual

DR. GURVINDRA SINGH JOHAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1813 OAK TREE RD, EDISON, NJ 08820
(908) 769-9494
(908) 755-3833
Mailing address
1813 OAK TREE ROAD, EDISON, NJ 08820
(908) 769-9494
(908) 755-3833

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB06533000
NJ
207P00000X
Emergency Medicine Physician
C20007934
DE
207R00000X
Internal Medicine Physician
25MB06533000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000039666
DE
Enumeration date
05/02/2006
Last updated
08/21/2020
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