Organization
PANACEA ID HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNETA V GOLUBCHIK M.D. (OWNER)
(908) 464-3636
Entity
Organization
Contact information
Practice address
20 OVERLOOK RD, MOUNTAIN LAKES, NJ 07046-1509
(908) 464-3636
(908) 464-6711
Mailing address
20 OVERLOOK RD, MOUNTAIN LAKES, NJ 07046-1509
(908) 464-3636
(908) 464-6711
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
25MA08153500
NJ
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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