Individual
ROBERT A PANICO
Active
Individual
ROBERT A PANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09945000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360898934
—
IL
05
—
0541354
—
NJ
05
—
205428303
—
MO
01
—
300123790
RR MEDICARE
—
01
—
36089893
BLUE CROSS BLUE SHIELD
IL
01
—
473923
HEALTHLINK
—
Enumeration date
04/19/2006
Last updated
12/20/2023
Update your record
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