Provider Demographics
NPI:1487663670
Name:PALL, HARPREET (MD)
Entity type:Individual
Prefix:DR
First Name:HARPREET
Middle Name:
Last Name:PALL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:160 E. ERIE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19134-1011
Mailing Address - Country:US
Mailing Address - Phone:215-427-6778
Mailing Address - Fax:215-427-6782
Practice Address - Street 1:19 DAVIS AVE FL 5
Practice Address - Street 2:
Practice Address - City:NEPTUNE
Practice Address - State:NJ
Practice Address - Zip Code:07753-4488
Practice Address - Country:US
Practice Address - Phone:732-776-4860
Practice Address - Fax:732-776-4867
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2019-06-24
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Provider Licenses
StateLicense IDTaxonomies
MA2251752080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1025452620004Medicaid
PA1025452620004Medicaid