Individual
FLORDELIZ PANEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1116 43RD ST, NORTH BERGEN, NJ 07047-2712
(201) 330-2632
(201) 330-2638
Mailing address
98 ROMAINE AVE, JERSEY CITY, NJ 07306-5302
(201) 963-6706
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07789100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061662
—
NJ
Enumeration date
03/30/2007
Last updated
07/08/2007
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