Provider Demographics
NPI:1306811773
Name:HUNDLE, SUKHWINDER K
Entity type:Individual
Prefix:DR
First Name:SUKHWINDER
Middle Name:K
Last Name:HUNDLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 N BEERS ST
Mailing Address - Street 2:SUITE 1 A
Mailing Address - City:HOLMDEL
Mailing Address - State:NJ
Mailing Address - Zip Code:07733-1518
Mailing Address - Country:US
Mailing Address - Phone:732-739-3555
Mailing Address - Fax:732-845-0226
Practice Address - Street 1:721 N BEERS ST
Practice Address - Street 2:SUITE 1 A
Practice Address - City:HOLMDEL
Practice Address - State:NJ
Practice Address - Zip Code:07733-1518
Practice Address - Country:US
Practice Address - Phone:732-739-3555
Practice Address - Fax:732-845-0226
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2014-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41033207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1884204Medicaid
NJ1040976OtherBCBS
NJ366873ZJMZOtherMEDICARE PTAN
NJ1040976OtherBCBS