Provider Demographics
NPI:1619799145
Name:SINGER, JOSEPH RUSSELL (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:RUSSELL
Last Name:SINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8023 DEER LAKE CT
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33067-0931
Mailing Address - Country:US
Mailing Address - Phone:856-220-4055
Mailing Address - Fax:
Practice Address - Street 1:9 S ARGYLE AVE
Practice Address - Street 2:
Practice Address - City:MARGATE CITY
Practice Address - State:NJ
Practice Address - Zip Code:08402-2805
Practice Address - Country:US
Practice Address - Phone:856-220-4055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04531600207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine