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RAYMOND A PENSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2200 KERNAN DR, SUITE 1154, BALTIMORE, MD 21207-6665
(410) 448-6400
(410) 448-6296
Mailing address
2200 KERNAN DR, SUITE 1154, BALTIMORE, MD 21207-6665
(410) 448-6400
(410) 448-6296

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
D0062198
MD
207XX0801X
Orthopaedic Trauma Physician
D0062198
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205929213
NPI
MD
05
3810008225
WV
05
411592900
MD
01
D0062198
MD LICENSE
MD
Enumeration date
10/02/2006
Last updated
07/01/2009
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