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Individual

PAUL PUNLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.P.A.C

Contact information

Practice address
50 MOUNT PROSPECT AVE, CLIFTON, NJ 07013-1900
(973) 928-1325
Mailing address
175 DEGRAW AVE, TEANECK, NJ 07666-4027
(551) 206-8351

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015386
NY
363A00000X
Physician Assistant
Primary
25MP00276100
NJ

Other

Enumeration date
06/06/2012
Last updated
06/06/2012
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