Individual provider · Type 1 NPI

Surasak Puvabanditsin, MD

Neonatal-Perinatal Medicine Physician · New Brunswick, NJ

NPI number 1235135880 Active

Practice location

1 Robert Wood Johnson Pl, Meb 396
New Brunswick, NJ 08901-1928

Call (732) 235-5691 Map

Fax (732) 235-5668

Mailing address

32 Carriage Dr
Piscataway, NJ 08854-5968

Specialties and licenses

TaxonomyCodeLicense
Neonatal-Perinatal Medicine Physician Primary 2080N0001X25MA04160100 (NJ)
Pediatrics Physician 208000000X25MA04160100 (NJ)

Neonatal-Perinatal Medicine Physician: 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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About NPI 1235135880

Surasak Puvabanditsin, MD's National Provider Identifier is 1235135880, issued on Jun 28, 2005. The primary taxonomy on file is Neonatal-Perinatal Medicine Physician (2080N0001X), and the practice location is in New Brunswick, NJ. The record was last updated on Mar 17, 2017.