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Individual

JOSEPH ALBERT PENA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
680 BROADWAY, BARNERT HOSPITAL ANESTHESIA DEPT, PATERSON, NJ 07514-1422
(201) 339-1700
(201) 339-6972
Mailing address
PO BOX 79, BAYONNE, NJ 07002-0079
(201) 339-1700
(201) 339-6972

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 43473
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1432001
NJ
Enumeration date
05/23/2005
Last updated
07/08/2007
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