Individual
PHILLIP RYAN PURNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
10 PLUM ST FL 5, NEW BRUNSWICK, NJ 08901-2066
(732) 235-5530
Mailing address
10 PLUM ST FL 5, NEW BRUNSWICK, NJ 08901-2066
(732) 235-5530
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA11303300
NJ
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
25MA11303300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2016
Last updated
04/10/2024
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