Provider Demographics
NPI:1154552917
Name:PUNJ, PRITI NARULA (MD)
Entity type:Individual
Prefix:
First Name:PRITI
Middle Name:NARULA
Last Name:PUNJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:PRITI
Other - Middle Name:
Other - Last Name:NARULA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 FEDERAL CITY RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08648-1664
Mailing Address - Country:US
Mailing Address - Phone:609-620-1380
Mailing Address - Fax:609-771-8991
Practice Address - Street 1:100 FEDERAL CITY RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-1664
Practice Address - Country:US
Practice Address - Phone:609-620-1380
Practice Address - Fax:609-771-8991
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-28
Last Update Date:2014-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA09019800207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine