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Dr. Fazal R Panezai, MD
Specialist in Matawan, New Jersey
NPI 1710069760

Fazal R Panezai is a Specialist based in Matawan, NJ. Fazal R Panezai practices in Matawan, NJ and has the professional credentials of MD. The NPI Number for Fazal R Panezai is 1710069760 and holds a License No. 25MA03349200 (New Jersey).

The current practice location address for Fazal R Panezai is 177 Main Street, Matawan, NJ and can be reached out via phone at 732-566-6614 and via fax at 732-290-9448.

Location: 177 Main Street, Matawan, NJ, 07747-3127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710069760
Provider Name
Fazal R Panezai
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
177 Main Street, Matawan, NJ, 07747-3127
Phone Number
732-566-6614
Fax Number
732-290-9448
Provider Enumeration Date
10/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2066602-22 05 NJ
institution
Provider Business Practice Location Address Details
Address
177 Main Street
City
Matawan
State
New Jersey
Zip
07747
Phone Number
732-566-6614
Fax Number
732-290-9448
person
Provider Business Mailing Address Details
Address
177 Main Street
City
Matawan
State
New Jersey
Zip
07747
Phone Number
732-566-6614
Fax Number
732-290-9448
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MA03349200 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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