Individual
KRISTEN PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
703 MAIN ST, PATERSON, NJ 07503-2621
(973) 754-2000
Mailing address
240 CHUBB AVE, APT. 248, LYNDHURST, NJ 07071-3524
(973) 876-5088
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB10391000
NJ
Other
Enumeration date
07/09/2015
Last updated
07/24/2019
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