Individual
NEIL PANCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
365 MONTAUK AVE, NEW LONDON, CT 06320-4769
(860) 442-0711
Mailing address
365 MONTAUK AVE, NEW LONDON, CT 06320-4769
(860) 442-0711
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB09637600
NJ
207P00000X
Emergency Medicine Physician
3392
WV
207P00000X
Emergency Medicine Physician
64974
CT
Other
Enumeration date
04/25/2012
Last updated
11/09/2023
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