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Individual

RENE JUSTIN PUNSAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
24-12 FAIR LAWN AVE, FAIR LAWN, NJ 07410-3401
(201) 797-7500
Mailing address
24-12 FAIR LAWN AVE, FAIR LAWN, NJ 07410-3401
(201) 797-7500

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01201200
NJ

Other

Enumeration date
09/10/2021
Last updated
09/10/2021
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