Individual
MR. VINCENT S PANELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
420 GRAND AVE, SUITE 101, ENGLEWOOD, NJ 07631-4152
(201) 569-7044
(201) 569-1999
Mailing address
420 GRAND AVE, SUITE 101, ENGLEWOOD, NJ 07631-4152
(201) 569-7044
(201) 569-1999
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA04951400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0990400
—
NJ
01
—
13A881
EMPIRE HEALTH PLAN
NJ
01
—
2400475
GHI
NJ
01
—
46052
AETNA US HELTHCARE
NJ
01
—
BS239
OXFORD
NJ
01
—
OK2490
HEALTHNET
NJ
Enumeration date
05/16/2006
Last updated
04/10/2008
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