Provider Demographics
NPI:1487900585
Name:AMANDEEP K PALL MD LLC
Entity type:Organization
Organization Name:AMANDEEP K PALL MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDEEP
Authorized Official - Middle Name:K
Authorized Official - Last Name:PALL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-422-3398
Mailing Address - Street 1:PO BOX 6774
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-6774
Mailing Address - Country:US
Mailing Address - Phone:732-422-3398
Mailing Address - Fax:973-618-5523
Practice Address - Street 1:2090 ROUTE 27
Practice Address - Street 2:SUITE 101
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902
Practice Address - Country:US
Practice Address - Phone:732-422-3398
Practice Address - Fax:973-618-5523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-27
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08862000207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty