Dr. Fazal R Panezai, m.d.
Specialist in Matawan, NJ. Individual provider (NPI-1).
NPI number1710069760
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710069760
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fazal R Panezai
- Credential
- m.d.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 19, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | 25ma03349200 | NJ | Yes |
Other names
- Fazlur R Panezai (Other Name)
Practice location
177 Main StreetMatawan, NJ 07747
Phone 732-566-6614 · Fax 732-290-9448
Mailing address
177 Main StMatawan, NJ 07747-3127
Phone 732-566-6614 · Fax 732-290-9448
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All 6 Specialist providers in Matawan · All 836 providers in Matawan
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