Individual
DR. USHA R PANICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 MARYLAND AVE, EDISON, NJ 08820-2551
(732) 744-9288
(732) 744-9278
Mailing address
2 MARYLAND AVE, EDISON, NJ 08820-2551
(732) 744-9288
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA05249000
NJ
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
25MA05249000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1121995
HORIZON NJ HEALTH
NJ
01
—
1K6836
HEALTHNET
NJ
01
—
4526619
AETNA
NJ
05
—
5364906
—
NJ
01
—
LP195
OXFORD
NJ
Enumeration date
11/14/2005
Last updated
09/25/2007
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