Surasak Puvabanditsin in Piscataway - Pediatrics

Surasak Puvabanditsin - NPI 1235135880

Surasak Puvabanditsin is a Pediatrics in Piscataway, New Jersey. Surasak Puvabanditsin practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Surasak Puvabanditsin is 1235135880. The last update date is 2017-03-17.

Surasak Puvabanditsin's current location address is 32 Carriage Dr, Piscataway, New Jersey. You can contact this provider via phone number 7329809308 and fax number 7329800033. The mailing address for Surasak Puvabanditsin is 32 Carriage Dr, Piscataway, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Surasak Puvabanditsin
Address 32 Carriage Dr, Piscataway, New Jersey
Phone Number 7329809308
Fax Number 7329800033
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1235135880
Provider Enumeration Date 2005-06-28
Last Updated Date 2017-03-17

Provider Mailing Address Detail

Address 32 Carriage Dr
City Piscataway
State New Jersey (NJ)
Post Code 88545968
Phone Number 7329809308
Fax Number 7329800033

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Licence No 25MA04160100
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3816508 NJ --

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FAQs about Surasak Puvabanditsin

What is the Surasak Puvabanditsin's unique identification number?

The Surasak Puvabanditsin has been assigned the NPI (National Provider Identifier) Number 1235135880 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Surasak Puvabanditsin's physical address?

The Surasak Puvabanditsin is physically located at 32 Carriage Dr, in the city of Piscataway, NJ, with the postal code 88545968.

What is Surasak Puvabanditsin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Surasak Puvabanditsin is Pediatrics, and the taxonomy code that categorizes this field of expertise is 208000000X.

When did the Surasak Puvabanditsin receive its 1235135880?

The Surasak Puvabanditsin was issued its 1235135880 on 2005-06-28, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Surasak Puvabanditsin most recently updated or revised?

The information pertaining to Surasak Puvabanditsin, including its address, specialty, and other relevant details, was last updated or revised on 2017-03-17.

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