Srisethnil, Pudchong S

Srisethnil, Pudchong S is an sole proprietor health care provider with primary practice located at 561 E 28Th St , Paterson NJ 07504-1825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Srisethnil, Pudchong S can be contacted via phone (973) 278-4673.

Contact Information

Primary practice address
561 E 28Th St Paterson NJ 07504-1825
Phone: (973) 278-4673
Fax: (973) 278-0450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X MA30779 New Jersey

Profile Details

NPI number 1770690315
LBN Legal business name Srisethnil, Pudchong S
Credentials M.D., F.A.C.E.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770690315 NPPES
New Jersey Other MA30779 LICENSE #
New Jersey Other 222385269 LICENSE #

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