Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | 25MA08252600 | NJ |
NPI | 1144429218 |
---|---|
Provider Name | Dr. June Panganiban Magallanes |
First Address | Parsippany, NJ 07054-3326 |
Second Address | Parsippany, NJ 07054-3326 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2007 |
Last Update Date | 15/07/2008 |