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Dr. Surasak Puvabanditsin, MD
Pediatrics Physician in New Brunswick, New Jersey
NPI 1235135880

Surasak Puvabanditsin is a Pediatrics Physician based in Piscataway, NJ. Surasak Puvabanditsin practices in New Brunswick, NJ and has the professional credentials of MD. The NPI Number for Surasak Puvabanditsin is 1235135880 and holds a License No. 25MA04160100 (New Jersey).

The current practice location address for Surasak Puvabanditsin is 1 Robert Wood Johnson Pl, New Brunswick, NJ and can be reached out via phone at 732-235-5691 and via fax at 732-235-5668. You can also correspond with Surasak Puvabanditsin through the mailing address at 32 CARRIAGE DR, PISCATAWAY, NJ - 08854-5968 (mailing address contact number: 732-980-9308).

Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ, 08854-5968
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235135880
Provider Name
Surasak Puvabanditsin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1 Robert Wood Johnson Pl, New Brunswick, NJ, 08854-5968
Phone Number
732-235-5691
Fax Number
732-235-5668
Provider Enumeration Date
06/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3816508 05 NJ
institution
Provider Business Practice Location Address Details
Address
1 Robert Wood Johnson Pl
City
New Brunswick
State
New Jersey
Zip
08901-1928
Phone Number
732-235-5691
Fax Number
732-235-5668
person
Provider Business Mailing Address Details
Address
1 Robert Wood Johnson Pl
City
New Brunswick
State
New Jersey
Zip
08901-1928
Phone Number
732-235-5691
Fax Number
732-235-5668
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
25MA04160100 (New Jersey)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
25MA04160100 (New Jersey)
Definition
A pediatrician who 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.
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