Healthcare Provider Details

I. General information

NPI: 1992644108
Provider Name (Legal Business Name): HARDEEP KAUR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 STATE ST
SPRINGFIELD MA
01109-4140
US

IV. Provider business mailing address

30 FEDERAL HILL RD UNIT 13
POMPTON LAKES NJ
07442-2082
US

V. Phone/Fax

Practice location:
  • Phone: 413-736-0027
  • Fax:
Mailing address:
  • Phone: 609-642-3502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: