Individual
DR. ROBERT B PENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 E LANCASTER AVE, SUITE 256 MED BLDG EAST, WYNNEWOOD, PA 19096-3450
(610) 649-1970
Mailing address
100 E LANCASTER AVE, SUITE 256 MED BLD EAST, WYNNEWOOD, PA 19096-3450
(610) 649-1970
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA05492400
NJ
207W00000X
Ophthalmology Physician
Primary
MD034158E
PA
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
MD034158E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1162818
—
PA
05
—
3852105
—
NJ
Enumeration date
07/20/2005
Last updated
09/02/2020
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