Provider Demographics
NPI:1235360892
Name:CANTON, PANFILO G (MD)
Entity Type:Individual
Prefix:DR
First Name:PANFILO
Middle Name:G
Last Name:CANTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:182 DERBY DR.
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2766
Mailing Address - Country:US
Mailing Address - Phone:732-431-1073
Mailing Address - Fax:732-431-1073
Practice Address - Street 1:182 DERBY DR.
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2766
Practice Address - Country:US
Practice Address - Phone:732-431-1073
Practice Address - Fax:732-431-1073
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2MA02669600207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine