Individual
DR. PUDCHONG S SRISETHNIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.E.
Contact information
Practice address
561 E 28TH ST, PATERSON, NJ 07504-1825
(973) 278-4673
(973) 278-0450
Mailing address
561 E 28TH ST, PATERSON, NJ 07504-1825
(973) 278-4673
(973) 278-0450
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MA30779
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
222385269
TAX ID
NJ
01
—
MA30779
LICENSE #
NJ
Enumeration date
08/23/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us