Panda Physical Medicine LLC
NPI #1043711203 in Eatontown, New Jersey
Provider Information
- NPI Number
- 1043711203
- Entity Type
- Organization
- Organization Name
- Panda Physical Medicine LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Feb 23, 2018
- Last Updated
- May 27, 2022
Practice Location
- Address
- 142 HIGHWAY 35 STE 107
- City
- Eatontown
- State
- New Jersey
- ZIP Code
- 07724-1864
- Phone
- (732) 898-3040
Authorized Official
- Name
- CHARLES A FERRANTE, DC
- Title
- CLINIC MANAGER
- Phone
- (732) 455-1375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
| Specialist |
| Nurse Practitioner |
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