Provider Demographics
NPI:1982819132
Name:GURUNG, PUNCHO (MD)
Entity Type:Individual
Prefix:
First Name:PUNCHO
Middle Name:
Last Name:GURUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:280 CHESTNUT ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01199-1001
Mailing Address - Country:US
Mailing Address - Phone:413-794-5700
Mailing Address - Fax:
Practice Address - Street 1:3300 MAIN ST
Practice Address - Street 2:2ND FLOOR, SUITE A
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1112
Practice Address - Country:US
Practice Address - Phone:413-794-7330
Practice Address - Fax:413-794-8163
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2019-01-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA248659207RP1001X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease