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PANACEA ID HEALTH LLC NPI 1588108062


NPI Information

NPI: 1588108062
Provider Name: PANACEA ID HEALTH LLC
Classification: Internal Medicine - 207RI0200X
Entity Type: Organization

Specialization: Infectious Disease

Address:
20 OVERLOOK RD
MOUNTAIN LAKES, NJ
ZIP 07046
Phone: (908) 464-3636
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PANACEA ID HEALTH LLC is an infectious disease internal medicine in Mountain Lakes, NJ. The provider is an internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. PANACEA ID HEALTH LLC NPI is 1588108062. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20 OVERLOOK RD
MOUNTAIN LAKES, NJ
ZIP 07046-509
Phone: (908) 464-3636
Fax: (908) 464-6711

The provider's authorized official is Anneta V Golubchik .
The authorized official title is Owner and has the following contact phone number (908) 464-3636.

The enumeration date for this NPI number is 12/19/2016 and was last updated on 12/19/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RI0200XInternal MedicineInfectious Disease25MA08153500NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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