Individual
ROBERT A PANICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ STE 200, CAMDEN, NJ 08103-1461
(856) 342-2380
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
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
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