MEDICARE: DR. HARLEEN KAUR M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	239839	MA
2	207Q00000X	Family Medicine Physician	25MA08765300	NJ

General Provider Information

NPI Number	:	1922267012
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARLEEN KAUR M.D.

Provider Business Mailing Address
First Line	:	238 ERNSTON RD
Second Line	:
City	:	PARLIN
State	:	NJ
Zip	:	08859-1947
Country	:	US
Telephone Number	:	732-727-5110
Fax Number	:	732-316-2323

Provider Business Practice Location Address
First Line	:	238 ERNSTON RD
Second Line	:
City	:	PARLIN
State	:	NJ
Zip	:	08859-1947
Country	:	US
Telephone Number	:	732-727-5110
Fax Number	:	732-316-2323

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2008
Last Update Date	:	11/08/2010

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