Provider Demographics
NPI:1427250703
Name:SINGH, MAULSHREE (MD)
Entity type:Individual
Prefix:
First Name:MAULSHREE
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 416457
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-6457
Mailing Address - Country:US
Mailing Address - Phone:844-362-1735
Mailing Address - Fax:973-290-7495
Practice Address - Street 1:575 ROUTE 28, BUILDING 3
Practice Address - Street 2:SUITE 3201, SECOND FLOOR
Practice Address - City:RARITAN
Practice Address - State:NJ
Practice Address - Zip Code:08869
Practice Address - Country:US
Practice Address - Phone:908-947-2712
Practice Address - Fax:908-927-9832
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09170100207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8W8859OtherBLUE CROSS BLUE SHIELD
TX199031901Medicaid
TX199031902Medicaid
TX199031901Medicaid