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Individual

CRISPINO PUNZALAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1 BAY AVE, ANESTHESIA DEPT., MONTCLAIR, NJ 07042-4837
(973) 429-6250
Mailing address
PO BOX 35088, MONTCLAIR ANESTHESIA, NEWARK, NJ 07193-5088
(800) 720-1664
(207) 753-2020

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA40516
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1757202
NJ
Enumeration date
06/01/2006
Last updated
07/08/2007
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