Individual
DR. REYNOLD A PANETTIERI JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 PATERSON ST STE 5100, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7840
(732) 235-6524
Mailing address
66 W GILBERT ST FL 2, TINTON FALLS, NJ 07701-4947
(201) 759-6921
(732) 212-0713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA09773100
NJ
207RP1001X
Pulmonary Disease Physician
Primary
25MA09773100
NJ
207RP1001X
Pulmonary Disease Physician
MD032459E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011230140001
—
PA
Enumeration date
07/28/2006
Last updated
04/10/2024
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