Individual
NEERAJ H. PANCHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3400 CIVIC CENTER BLVD., 4TH FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104
(215) 662-3580
Mailing address
3400 CIVIC CENTER BLVD., 4TH FLOOR, SOUTH PAVILION, PHILADELPHIA, PA 19104
(215) 662-3580
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
DS040426
PA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD455881
PA
Other
Enumeration date
07/10/2009
Last updated
09/26/2019
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