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Organization
PUDCHONG SRISETHNIL, MD, PA
Active
Organization
PUDCHONG SRISETHNIL, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PUDCHONG SRISETHNIL MD (PRESIDENT/PHYSICIAN)
(973) 278-4673
Entity
Organization
Contact information
Practice address
561 E 28TH ST, PATERSON, NJ 07504-1862
(973) 278-4673
(973) 278-0450
Mailing address
561 E 28TH ST, PATERSON, NJ 07504-1862
(973) 278-4673
(973) 278-0450
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MA30779
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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