Organization
USHAPANICKER MDLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
USHA R PANICKER M.D. (SOLE OWNER)
(732) 744-9288
Entity
Organization
Contact information
Practice address
2 MARYLAND AVE, EDISON, NJ 08820-2551
(732) 744-9288
Mailing address
2 MARYLAND AVE, EDISON, NJ 08820-2551
(732) 744-9288
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10202700
HORIZON NJ HEALTH
NJ
01
—
1K6836
HEALTHNET
NJ
01
—
2421743
AETNA
NJ
05
—
8371202
—
NJ
01
—
LP195
OXFORD
NJ
Enumeration date
11/17/2005
Last updated
04/20/2008
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