Individual
CAREY PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1364 ROUTE 72 W, SUITE 5, MANAHAWKIN, NJ 08050-2485
(609) 978-0778
(609) 978-1377
Mailing address
402 LIPPINCOTT DRIVE, MARLTON, NJ 08053-0598
(856) 782-3300
(856) 504-8029
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB06078900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6583806
—
NJ
Enumeration date
08/09/2005
Last updated
02/14/2014
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