Individual
BARBARA PENETAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(570) 346-7797
(570) 342-9802
Mailing address
PO BOX 390, SCRANTON, PA 18501-0390
(570) 346-7797
(570) 342-9802
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
05007899L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01541767
—
PA
01
—
P00148662
RR MEDICARE
PA
Enumeration date
12/19/2005
Last updated
02/20/2008
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