Healthcare Provider Details

I. General information

NPI: 1679951123
Provider Name (Legal Business Name): AMANDEEP SINGH JUNEJA MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2015
Last Update Date: 05/25/2022
Certification Date: 05/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 GERMANTOWN RD STE 101
DANBURY CT
06810-4087
US

IV. Provider business mailing address

41 GERMANTOWN RD STE 101
DANBURY CT
06810-4087
US

V. Phone/Fax

Practice location:
  • Phone: 203-399-0399
  • Fax:
Mailing address:
  • Phone: 203-399-0399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number70736
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: