SearchNew Jersey225700000X

Josian Bansrupan

NPI 1659986974 · on the registry since 2020

Practice

Address
50 Newark Pl
Belleville, NJ 07109
Phone
(202) 241-8250

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-09-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey