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Individual

JOSEPH ROBERT PANCHELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S, ATC

Contact information

Practice address
1600 CROWN POINT RD, WEST DEPTFORD, NJ 08093-1741
(856) 848-6110
Mailing address
24 BATTERY HILL DR, VOORHEES, NJ 08043-2902

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00188400
NJ

Other

Enumeration date
01/05/2017
Last updated
01/05/2017
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