Individual
ROBERT PAUL PANNULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 WORLDS FAIR DR, SOMERSET, NJ 08873-1369
(732) 537-0909
(732) 564-9032
Mailing address
2 WORLDS FAIR DR, SOMERSET, NJ 08873-1369
(732) 537-0909
(732) 564-9032
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
25MA07334000
NJ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
25MA07334000
NJ
Other
Enumeration date
03/20/2006
Last updated
06/15/2020
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