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Individual

DR. JOSEPH EDWARD PENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
8 CORPORATE CENTER DR, SUITE 101, MELVILLE, NY 11747-3193
(631) 752-0606
(631) 752-0623
Mailing address
22 WATERVILLE RD, INVITRO SCIENCES, INC, AVON, CT 06001-2066
(860) 678-3428
(860) 284-5444

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
216748-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
216748
NY LICENSE
NY
Enumeration date
03/20/2007
Last updated
01/02/2012
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