# PANACEA ID HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588108062
- **Authorized official:** DR. ANNETA V GOLUBCHIK M.D. (OWNER)
- **Authorized official phone:** (908) 464-3636

## Contact information

- **Practice address:** 20 OVERLOOK RD, MOUNTAIN LAKES, NJ 07046-1509
- **Practice address phone:** (908) 464-3636
- **Practice address fax:** (908) 464-6711
- **Mailing address:** 20 OVERLOOK RD, MOUNTAIN LAKES, NJ 07046-1509
- **Mailing address phone:** (908) 464-3636
- **Mailing address fax:** (908) 464-6711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0200X | Infectious Disease Physician | 25MA08153500 | NJ | Yes |

## Other

- **Enumeration date:** 12/19/2016
- **Last updated:** 12/19/2016