Healthcare Provider Details

I. General information

NPI: 1427294271
Provider Name (Legal Business Name): GURPREET SINGH LAMBA M.B.B.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/29/2008
Last Update Date: 04/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

89 BEAUMONT AVE GIVEN E 214
BURLINGTON VT
05405-1742
US

IV. Provider business mailing address

326 PROFESSIONAL VIEW DR POND VIEW PROFESSIONAL PARK, BLDG. 300
FREEHOLD NJ
07728-7904
US

V. Phone/Fax

Practice location:
  • Phone: 802-656-5482
  • Fax:
Mailing address:
  • Phone: 732-431-8400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number042.0012435
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: