Individual
DR. PAUL S. PANEBIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
129 JOHNSON RD, SUITE 4, TURNERSVILLE, NJ 08012-1777
(856) 374-4440
(856) 374-4445
Mailing address
129 JOHNSON RD, SUITE 4, TURNERSVILLE, NJ 08012-1777
(856) 374-4440
(856) 374-4445
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MB03115000
NJ
207RN0300X
Nephrology Physician
OS003416L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1288300
—
NJ
Enumeration date
08/16/2005
Last updated
06/14/2013
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