Jennifer Panicker, PA-C
Physician Assistant, Medical in Somerville, NJ. Individual provider (NPI-1).
NPI number1982259222
StatusActive
Last updated in NPPESNov 24, 2019
Details
- NPI
- 1982259222
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Panicker
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2019
- Last updated
- Nov 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 25MP00532100 | NJ | Yes |
Practice location
110 Rehill AveSomerville, NJ 08876
Phone 908-429-5833
Mailing address
Po Box 7349Hillsborough, NJ 08844-7349
Other practice locations
110 Rehill Ave
Somerville, NJ 08876
Somerville, NJ 08876
Phone 908-429-5833
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