Individual
DR. JOHN PENISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1665 BUSTLETON PIKE, FEASTERVILLE, PA 19053-7305
(215) 355-9770
Mailing address
1665 BUSTLETON PIKE, FEASTERVILLE, PA 19053-7305
(215) 355-9770
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS006904L
PA
Other
Enumeration date
06/22/2005
Last updated
11/27/2017
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