Individual
EUGENE BUNNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4838
(551) 996-3984
Mailing address
56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 06706-1221
(203) 709-8873
(203) 709-8689
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
037181
CT
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
25MA09546600
NJ
207RP1001X
Pulmonary Disease Physician
037181
CT
207RP1001X
Pulmonary Disease Physician
25MA09546600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001371814
—
CT
05
—
0440469
—
NJ
Enumeration date
06/30/2006
Last updated
09/15/2015
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