Ekta V Panchal, | |
496 Boulevard Apt C9, Passaic, NJ 07055-2142 | |
(551) 271-6143 | |
Not Available |
Full Name | Ekta V Panchal |
---|---|
Gender | Female |
Speciality | Physical Therapist - Geriatrics |
Location | 496 Boulevard Apt C9, Passaic, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477284586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2251G0304X | Physical Therapist - Geriatrics | (* (Not Available)) | Primary |
Provider Name | Stern At Home Physical Therapy Pc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1720563380 PECOS PAC ID: 6002152147 Enrollment ID: O20190204002117 |
Mailing Address | Practice Location Address |
---|---|
Ekta V Panchal, 496 Boulevard Apt C9, Passaic, NJ 07055-2142 Ph: (551) 271-6143 | Ekta V Panchal, 496 Boulevard Apt C9, Passaic, NJ 07055-2142 Ph: (551) 271-6143 |
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