Individual provider · Type 1 NPI

Jaclyn Diefenbacher Punt, PA-C

Surgical Physician Assistant · Trenton, NJ

NPI number 1386203487 Active

Practice location

750 Brunswick Ave
Trenton, NJ 08638-4143

Mailing address

331 Newman Springs Rd Ste 220
Red Bank, NJ 07701-5792

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Surgical Physician Assistant Primary 363AS0400X25MP00534500 (NJ)

Surgical Physician Assistant: Definition to come...

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About NPI 1386203487

Jaclyn Diefenbacher Punt, PA-C's National Provider Identifier is 1386203487, issued on Jun 12, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Trenton, NJ. The record was last updated on Sep 11, 2024.