Panella, Vincent S
Panella, Vincent S is an individual health care provider with primary practice located at 420 Grand Ave Suite 101, Englewood NJ 07631-4152. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Panella, Vincent S can be contacted via phone (201) 569-7044.Contact Information
Primary practice address
420 Grand Ave Suite 101
Englewood NJ 07631-4152
Phone: (201) 569-7044
Fax: (201) 569-1999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 25MA04951400 | New Jersey |
Profile Details
| NPI number | 1841242393 |
|---|---|
| LBN Legal business name | Panella, Vincent S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 16th, 2006 |
| Last updated | Apr 10th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841242393 | NPPES |
| New Jersey | MEDICAID | 0990400 | |
| New Jersey | Other | 13A881 | |
| New Jersey | Other | 2400475 | |
| New Jersey | Other | 46052 | |
| New Jersey | Other | BS239 | |
| New Jersey | Other | OK2490 |
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