person
Magdiel Lenin Fuentes Funez, PA-C
Surgical Physician Assistant in Englewood, New Jersey
NPI 1467972612

Magdiel Lenin Fuentes Funez is a Surgical Physician Assistant based in Charlotte, NJ and is specialized in Surgical. Magdiel Lenin Fuentes Funez practices in Englewood, NJ and has the professional credentials of PA-C. The NPI Number for Magdiel Lenin Fuentes Funez is 1467972612 and holds a License No. 25MP00577200 (New Jersey).

The current practice location address for Magdiel Lenin Fuentes Funez is 350 Engle St Fl 5, Englewood, NJ and can be reached out via phone at 201-894-3636. You can also correspond with Magdiel Lenin Fuentes Funez through the mailing address at PO BOX 751461, CHARLOTTE, NC - 28275-1461 (mailing address contact number: 843-792-6200).

Location: 350 Engle St Fl 5, Englewood, NJ, 28275-1461
person
Provider Profile Details
NPI Number
1467972612
Provider Name
Magdiel Lenin Fuentes Funez
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
350 Engle St Fl 5, Englewood, NJ, 28275-1461
Phone Number
201-894-3636
Fax Number
Provider Enumeration Date
06/20/2017
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
350 Engle St Fl 5
City
State
Zip
07631-1808
Phone Number
201-894-3636
Fax Number
person
Provider Business Mailing Address Details
Address
350 Engle St Fl 5
City
State
Zip
07631-1808
Phone Number
201-894-3636
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA54487 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
25MP00577200 (New Jersey)
Definition
Definition to come...
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