Individual
KATHERINE PENBERTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
430 S BROADWAY, GLOUCESTER CITY, NJ 08030
(856) 456-0518
Mailing address
1 FEDERAL ST # 200, CAMDEN, NJ 08103-1088
(856) 356-4924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA077687
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070106
—
NJ
01
—
010007469
AMERICHOICE
NJ
01
—
1764618
AMERIHEALTH PPO/PABS
NJ
01
—
2430550000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
—
2566179
UNITED HEALTHCARE
NJ
01
—
3949355
AETNA
NJ
01
—
3K6217
HEALTHNET, INC
NJ
01
—
42477
UNIVERSITY HEALTH PLAN
NJ
01
—
60018543
HORIZON NJ HEALTH
NJ
01
—
8397292
CIGNA
NJ
01
—
P00278714
RR MEDICARE
NJ
01
—
P3658002
OXFORD
NJ
Enumeration date
10/12/2006
Last updated
07/17/2019
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