Provider Demographics
NPI:1124683875
Name:SINGH, AJAYPAUL (DPM)
Entity type:Individual
Prefix:DR
First Name:AJAYPAUL
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 RESNIK RD STE 107
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4843
Mailing Address - Country:US
Mailing Address - Phone:508-747-3567
Mailing Address - Fax:508-830-1224
Practice Address - Street 1:45 RESNICK ROAD
Practice Address - Street 2:SUITE 107
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360
Practice Address - Country:US
Practice Address - Phone:508-747-3567
Practice Address - Fax:508-830-1224
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2025-01-05
Deactivation Date:2019-12-16
Deactivation Code:
Reactivation Date:2019-12-31
Provider Licenses
StateLicense IDTaxonomies
MA2529213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist