Panem, Flordeliz
Panem, Flordeliz is an individual health care provider with primary practice located at 1116 43Rd St , North Bergen NJ 07047-2712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Panem, Flordeliz can be contacted via phone (201) 330-2632.Contact Information
Primary practice address
1116 43Rd St
North Bergen NJ 07047-2712
Phone: (201) 330-2632
Fax: (201) 330-2638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25MA07789100 | New Jersey |
Profile Details
| NPI number | 1770603722 |
|---|---|
| LBN Legal business name | Panem, Flordeliz |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1770603722 | NPPES |
| New Jersey | MEDICAID | 0061662 |
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