Individual
DR. GUILLERMO PUNZALAN NARVAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
135 BLOOMFIELD AVE, SUITE B, BLOOMFIELD, NJ 07003-5902
(973) 743-3556
(973) 743-3895
Mailing address
21 THEYKEN PL, RIDGEWOOD, NJ 07450-2935
(201) 445-6108
(201) 445-6510
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA04619500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3974201
—
NJ
Enumeration date
08/31/2006
Last updated
07/08/2007
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