Dr. Surasak Puvabanditsin
MD | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Surasak Puvabanditsin, MD is a New Brunswick, New Jersey based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Surasak Puvabanditsin is
1 Robert Wood Johnson Pl, Meb 396, New Brunswick, New Jersey - 08901-1928. He can be contacted on phone at
732-235-5691 and fax number 732-235-5668.
Dr. Surasak Puvabanditsin is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Surasak Puvabanditsin is
1235135880 which was assigned by NPPES on 28 Jun, 2005 and it was last updated on 17 Mar, 2017.
Dr. Surasak Puvabanditsin license number is
25MA04160100 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in New Jersey.
Dr. Surasak Puvabanditsin is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Surasak Puvabanditsin basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Surasak Puvabanditsin |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Dr. Surasak Puvabanditsin address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1 Robert Wood Johnson Pl, Meb 396
New Brunswick, NJ, 08901-1928
United States |
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| Phone Number : | 732-235-5691 |
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| Fax Number : | 732-235-5668 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1235135880 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Jun, 2005 |
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| Last Updated On : | 17 Mar, 2017 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Surasak Puvabanditsin are as mentioned. Primary taxonomy code for Dr. Surasak Puvabanditsin, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 25MA04160100 | NJ |
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 25MA04160100 | NJ |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Surasak Puvabanditsin such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 3816508 | MEDICAID | NJ | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 32 Carriage Dr
Piscataway, NJ, 08854-5968
United States |
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| Phone Number : | 732-980-9308 |
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| Fax Number : | 732-980-0033 |
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Business Location:
Patients can refer following map for directions to
Dr. Surasak Puvabanditsin practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.