Bonifacio Sumbillo Tanchingco, APN
Nurse Practitioner, Family in New Brunswick, NJ. Individual provider (NPI-1).
NPI number1114498367
StatusActive
Last updated in NPPESJan 20, 2023
Details
- NPI
- 1114498367
- Entity type
- Individual (NPI-1)
- Name
- Mr. Bonifacio Sumbillo Tanchingco
- Credential
- APN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 16, 2018
- Certification date
- Jan 20, 2023
- Last updated
- Jan 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 26NJ00877600 | NJ | Yes |
Practice location
1 Robert Wood Johnson PlNew Brunswick, NJ 08901-1928
Phone 732-507-8093 · Fax 732-613-1192
Mailing address
20 Rubar DrParlin, NJ 08859-2506
Phone 732-241-2586 · Fax 732-613-1192
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