Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | 0 | NJ |
Y | 222Z00000X | Podiatrist | 0 | NJ |
N | 213EP0504X | Public Medicine | 0 | NJ |
N | 213EP1101X | Primary Podiatric Medicine | 0 | NJ |
N | 111NR0200X | Radiology | 0 | NJ |
N | 213ER0200X | Radiology | 0 | NJ |
N | 2081S0010X | Sports Medicine | 0 | NJ |
N | 213ES0000X | Sports Medicine | 0 | NJ |
N | 213ES0103X | Foot & Ankle Surgery | 0 | NJ |
N | 213ES0131X | Foot Surgery | 0 | NJ |
NPI | 1548699531 |
---|---|
Provider Name | Dr. Devin Poonai |
First Address | North Brunswick, NJ 08902-2443 |
Second Address | North Brunswick, NJ 08902-2443 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2013 |
Last Update Date | 11/11/2013 |