Individual
MICHAEL W PANARELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
65 W JIMMIE LEEDS RD, POMONA, NJ 08240-9102
(609) 748-7597
Mailing address
19 CARA LN, HAMMONTON, NJ 08037-1683
(609) 226-8949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00228100
NJ
363AS0400X
Surgical Physician Assistant
012456
NY
Other
Enumeration date
04/17/2008
Last updated
03/31/2010
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