Individual
ANISH PUNDYAVANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(800) 637-2374
Mailing address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(800) 637-2374
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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