Individual
DR. GURPREET KAUR MUDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GUSTAVE L LEVY PL, BOX 1149, NEW YORK, NY 10029-6500
(212) 824-8069
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2870
(203) 384-3923
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
54923
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2012
Last updated
04/07/2020
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