Organization · Type 2 NPI

Panda Physical Medicine LLC

Nurse Practitioner · Eatontown, NJ

NPI number 1043711203 Active

Practice location

142 Highway 35 Ste 107
Eatontown, NJ 07724-1864

Fax (732) 531-1200

Mailing address

904 Deal Rd Apt 12
Ocean, NJ 07712-3443

Specialties and licenses

TaxonomyCodeLicense
Chiropractor 111N00000XNone listed
Specialist 174400000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

2 other providers at this address

About NPI 1043711203

Panda Physical Medicine LLC's National Provider Identifier is 1043711203, issued on Feb 23, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Eatontown, NJ. The record was last updated on May 27, 2022.