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Organization
PHILIP A PENEPENT JR.
Active
Organization
PHILIP A PENEPENT JR.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP A PENEPENT JR. M.D. (SOLE PROPRIETOR)
(716) 681-1895
Entity
Organization
Contact information
Practice address
5196 GENESEE ST, BOWMANSVILLE, NY 14026-1038
(716) 681-1895
(716) 681-5439
Mailing address
5196 GENESEE ST, BOWMANSVILLE, NY 14026-1038
(716) 681-1895
(716) 681-5439
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00751193
—
NY
Enumeration date
09/10/2007
Last updated
01/30/2023
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