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Individual

DR. ROBERT B PENNE

Active
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Individual

DR. ROBERT B PENNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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