MINA PANAH


Address: 8 N Mississippi Ave, Atlantic City, NJ 08401-4013
Phone: 6093408200

MINA PANAH (NPI# 1770946501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770946501
Entity Type Individual
Full Name MINA PANAH
Practice Address 8 N Mississippi Ave
Atlantic City
NJ 08401-4013
Mailing Address Po Box 1387
Atlantic City
NJ 08404-1387
Practice Telephone 6093408200
Practice Fax Number 6093408273
Mailing Telephone 6093408200
Mailing Fax Number 6093408273
Enumeration Date 2016-03-30
Last Update Date 2016-03-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
26NR18143000 NJ Dietary & Nutritional Service Providers

Office Location

Street Address 8 N MISSISSIPPI AVE
City ATLANTIC CITY
State NJ
Zip Code 08401-4013

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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

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1912496142 Jaclyn Ann Jacobsen Nutritionist 17-12 Hunter Pl, Fair Lawn, NJ 07410-5242 2018-05-03
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Competitor

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City ATLANTIC CITY
Zip Code 08401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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