Healthcare Provider Details

I. General information

NPI: 1649484791
Provider Name (Legal Business Name): RUPINDER K GILL MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2007
Last Update Date: 08/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MOB 3 SAINT PETER'S UNIVERSITY HOSPITAL
NEW BRUNSWICK NJ
08901
US

IV. Provider business mailing address

MOB 3 SAINT PETER'S UNIVERSITY HOSPITAL
NEW BRUNSWICK NJ
08901
US

V. Phone/Fax

Practice location:
  • Phone: 732-745-8600
  • Fax: 732-937-9428
Mailing address:
  • Phone: 732-745-8600
  • Fax: 732-937-9428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number25MA09670400
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code2080P0206X
TaxonomyPediatric Gastroenterology Physician
License Number244931
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: