Healthcare Provider Details

I. General information

NPI: 1053706168
Provider Name (Legal Business Name): MANMEET SINGH AHLUWALIA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2015
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 KENT RD
HOWELL NJ
07731-2452
US

IV. Provider business mailing address

57 KENT RD
HOWELL NJ
07731-2452
US

V. Phone/Fax

Practice location:
  • Phone: 732-367-1535
  • Fax: 732-367-9514
Mailing address:
  • Phone: 732-367-1535
  • Fax: 732-367-9514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number25MB11928300
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: