Healthcare Provider Details

I. General information

NPI: 1750181020
Provider Name (Legal Business Name): HARPREET SINGH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2025
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

175 MADISON AVE
MOUNT HOLLY NJ
08060-2099
US

IV. Provider business mailing address

453 W COUNTRY CLUB DR
WESTAMPTON NJ
08060-4741
US

V. Phone/Fax

Practice location:
  • Phone: 609-914-6000
  • Fax:
Mailing address:
  • Phone: 609-960-4168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR22909400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: