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Individual

DR. JULIE M. PANTELICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
601 HAMILTON AVE, SUITE #B158, TRENTON, NJ 08629-1915
(609) 599-5139
(609) 599-5047
Mailing address
601 HAMILTON AVE, SUITE #B158, TRENTON, NJ 08629-1915
(609) 599-5139
(609) 599-5047

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MB09174400
NJ
208M00000X
Hospitalist Physician
032.0070371
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1018721
VT
Enumeration date
08/29/2007
Last updated
08/28/2014
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