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1114498367
BONIFACIO SUMBILLO TANCHINGCO
NEW BRUNSWICK, NJ
NPI
1114498367
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NJ 26NJ00877600)
Enumeration Date
2018-12-16
Last Update Date
2023-01-20
Business Address
Mr. BONIFACIO SUMBILLO TANCHINGCO APN
1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901-1928
Phone number: 732-507-8093
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Mailing Address
Mr. BONIFACIO SUMBILLO TANCHINGCO APN
20 RUBAR DR
PARLIN, NJ 08859-2506
Phone number: 732-241-2586
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