Individual
ANNA PANCHESHNIKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6012 MAIN ST, VOORHEES, NJ 08043-4659
(856) 325-6622
(856) 325-6522
Mailing address
800 HOWARD AVE, YNHH-OBSTETRICS & GYNECOLOGY, NEW HAVEN, CT 06519-1369
(203) 785-4004
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
25MA11916300
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2016
Last updated
10/11/2023
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