Individual
JAGDIP SINGH GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7471
Mailing address
12 SKURKA CT, SAYREVILLE, NJ 08872-2175
(732) 895-2601
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
25MA09937000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2014
Last updated
02/08/2022
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