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NPI Code Detail

MEDICARE: TRACY ANN PUZINO C.A.

MEDICARE:   TRACY ANN PUZINO  C.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist25MZ00034400NJ

General Provider Information

NPI Number : 1952472797
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRACY ANN PUZINO C.A.
Provider Business Mailing Address
First Line : 124 HARPER TER
Second Line :
City : CEDAR GROVE
State : NJ
Zip : 07009-2235
Country : US
Telephone Number : 201-981-7670
Fax Number :
Provider Business Practice Location Address
First Line : 124 HARPER TER
Second Line :
City : CEDAR GROVE
State : NJ
Zip : 07009-2235
Country : US
Telephone Number : 201-981-7670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2006
Last Update Date : 07/08/2007

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Directions to “ TRACY ANN PUZINO C.A.” Practice Location

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