Organization
BFIT4EVER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINA A PANAH BSN (RN)
(609) 345-1897
Entity
Organization
Contact information
Practice address
6 N MISSISSIPPI AVE, ATLANTIC CITY, NJ 08401-4013
(609) 340-8200
Mailing address
170 N MAINE AVE, ATLANTIC CITY, NJ 08401-5546
(609) 345-1897
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
26NR18143000
NJ
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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