Basic Information
Provider Information
NPI: 1891431086
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SINGH
FirstName: HARMANDEEP
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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OtherMiddleName:  
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Mailing Information
Address1: 501 S. WASHINGTON AVE., SUITE 1000
Address2: THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION
City: SCRANTON
State: PA
PostalCode: 18505
CountryCode: US
TelephoneNumber: 5708663058
FaxNumber: 5703434800
Practice Location
Address1: 501 S. WASHINGTON AVE., SUITE 1000
Address2: THE WRIGHT CENTER FOR GRADUATE MEDICAL EDUCATION
City: SCRANTON
State: PA
PostalCode: 18505
CountryCode: US
TelephoneNumber: 5708663058
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/10/2022
LastUpdateDate: 05/10/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/10/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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