MAGDIEL FUENTES FUNEZ, PA-C
Physician Assistant
Active
Individual
NPI: 1467972612
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | No | PA54487 (CA) |
| Physician Assistant | 363A00000X | Yes | 25MP00577200 (NJ) |
| Physician Assistant - Medical | 363AM0700X | No | PA54487 (CA) |
Frequently Asked Questions
NPI 1467972612 is the National Provider Identifier for MAGDIEL FUENTES FUNEZ, PA-C, a Physician Assistant provider located in Englewood, NJ. This NPI was enumerated on June 20, 2017.
MAGDIEL FUENTES FUNEZ, PA-C practices at 350 ENGLE ST FL 5, Englewood, NJ 07631.
Quick Facts
- NPI
- 1467972612
- Type
- Individual
- Enumerated
- Jun 20, 2017
- Last Updated
- Jan 3, 2025
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