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NPI Code Detail

MEDICARE: RAYMOND JOSEPH PARUNGAO MD

MEDICARE:   RAYMOND JOSEPH PARUNGAO  MD
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
12080P0203XPediatric Critical Care Medicine PhysicianA68428CA
22080P0203XPediatric Critical Care Medicine Physician331381NY

General Provider Information

NPI Number : 1588723233
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND JOSEPH PARUNGAO MD
Provider Business Mailing Address
First Line : 1276 FULTON AVE
Second Line :
City : BRONX
State : NY
Zip : 10456-3467
Country : US
Telephone Number : 718-992-7669
Fax Number :
Provider Business Practice Location Address
First Line : 1650 GRAND CONCOURSE
Second Line :
City : BRONX
State : NY
Zip : 10457-7679
Country : US
Telephone Number : 718-992-7669
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 05/21/2025

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Directions to “ RAYMOND JOSEPH PARUNGAO MD” Practice Location

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