Individual
MR. BONIFACIO SUMBILLO TANCHINGCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 507-8093
(732) 613-1192
Mailing address
20 RUBAR DR, PARLIN, NJ 08859-2506
(732) 241-2586
(732) 613-1192
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00877600
NJ
Other
Enumeration date
12/16/2018
Last updated
01/20/2023
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