Individual
FELIPE TABLAN BANZON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4144
Mailing address
1 CAPITAL WAY, PENNINGTON, NJ 08534-2520
(609) 303-4144
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA05269900
NJ
Other
Enumeration date
05/19/2006
Last updated
09/19/2016
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