Individual
MEGAN PENNISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2171 ROUTE 70 W, CHERRY HILL, NJ 08002-2733
(856) 406-0023
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00691700
NJ
Other
Enumeration date
09/29/2018
Last updated
02/20/2024
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