Carl Gregory Punla, M.D. Valid NPI

Individual provider · Family Medicine Physician · Wayne, NJ

NPI

1770894495

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

25MA09546300 (NJ)

Sex

Male

Sole proprietor

No

Enumerated

2010-06-28

Last updated

2023-02-07