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Organization
ROBERTO P PANIS MD PC
Active
Organization
ROBERTO P PANIS MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTO PANIS (PRESIDENT)
(215) 947-4574
Entity
Organization
Contact information
Practice address
2352 PHILMONT AVE, HUNTINGDON VALLEY, PA 19006-6228
(215) 947-4574
(215) 947-0904
Mailing address
2352 PHILMONT AVE, HUNTINGDON VALLEY, PA 19006-6228
(215) 947-4574
(215) 947-0904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001415714
INDEPENDENCE BLUE CROSS
PA
05
—
11509062
—
PA
01
—
1415714
BLUE SHIELD
PA
01
—
2102236001
KEYSTONE HEALTH PLAN EAST
PA
Enumeration date
01/04/2007
Last updated
02/12/2013
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