Male or Other

Paul Punla R.P.A.C

Physician Assistant in Clifton, NJ(View on Map)

Full Name

Paul Punla R.P.A.C

NPI Number

1023379021

NPI Type

Individual Provider

Gender

Male

Enumeration Date

06/06/2012

Specialties

(Taxonomies)

Code

363A00000X

Primary Taxonomy

Yes

Licenses

State

New Jersey
New York

License Number

25MP00276100
015386

Contact
Information

Purpose

Mailing
Location

Address

175 DEGRAW AVE
50 MOUNT PROSPECT AVE

City

Teaneck
Clifton

State

NJ
NJ

Postal Code

07666-4027
07013-1900

Country

US
US

Telephone Number

(551) 206-8351
(973) 928-1325

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/06/2012

Provider Address

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