Panettieri, Reynold A
Panettieri, Reynold A is an individual health care provider with primary practice located at 125 Paterson St Ste 5100 , New Brunswick NJ 08901-1962. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Panettieri, Reynold A can be contacted via phone (732) 235-7840.Contact Information
Primary practice address
125 Paterson St Ste 5100
New Brunswick NJ 08901-1962
Phone: (732) 235-7840
Fax: (732) 235-6524
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA09773100 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD032459E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA09773100 | New Jersey |
Profile Details
| NPI number | 1104830629 |
|---|---|
| LBN Legal business name | Panettieri, Reynold A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Apr 10th, 2024 - about last year |
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 | 1104830629 | NPPES |
| Pennsylvania | MEDICAID | 0011230140001 |
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