Individual provider · Type 1 NPI
Fazal R. Panezai, MD
Specialist · Matawan, NJ
NPI number
1710069760
Active
Practice location
177 Main Street
Matawan, NJ 07747
Fax (732) 290-9448
Mailing address
177 Main St
Matawan, NJ 07747-3127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 25MA03349200 (NJ) |
Specialist: 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.
Other specialist providers in Matawan
About NPI 1710069760
Fazal R. Panezai, MD's National Provider Identifier is 1710069760, issued on Oct 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Matawan, NJ. The record was last updated on Jul 8, 2007.