Individual
MR. ROCCO ANTHONY PANICO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2200
Mailing address
18 CAMPBELL RD, FAIRFIELD, NJ 07004-1734
(973) 256-1747
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00327100
NJ
363A00000X
Physician Assistant
Primary
—
NY
Other
Enumeration date
09/20/2013
Last updated
06/24/2024
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