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Individual

ERIN W. PUKENAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2425
Mailing address
1 FEDERAL ST STE SW200, CAMDEN, NJ 08103-1155
(856) 356-4924
(856) 356-4710

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA082022
NJ
207LP3000X
Pediatric Anesthesiology Physician
MD434580
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010046002
AMERICHOICE
NJ
05
0139611
NJ
01
2810681
UNITED HEALTHCARE
NJ
01
3422388000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
60033601
HORIZON NJ HEALTH
NJ
01
60033604
HORIZON NJ HEALTH
NJ
01
6645726
CIGNA
NJ
01
9739093
AETNA
NJ
Enumeration date
08/06/2007
Last updated
04/11/2018
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