MEDICARE: DR. GURDEEP SINGH MATHAROO 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	208600000X	Surgery Physician	25MA09439800	NJ

General Provider Information

NPI Number	:	1972764256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GURDEEP SINGH MATHAROO M.D.

Provider Business Mailing Address
First Line	:	57 KENT RD
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-2452
Country	:	US
Telephone Number	:	732-364-1505
Fax Number	:	732-364-1509

Provider Business Practice Location Address
First Line	:	57 KENT RD
Second Line	:
City	:	HOWELL
State	:	NJ
Zip	:	07731-2452
Country	:	US
Telephone Number	:	732-364-1505
Fax Number	:	732-364-1509

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

Provider Enumeration Date	:	06/19/2008
Last Update Date	:	07/30/2014

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