Individual
DR. ERIC A PENNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
124 GRAHAM PARK DR., CRANBERRY TWP, PA 16066
(724) 772-3388
(724) 772-7021
Mailing address
124 GRAHAM PARK DR., CRANBERRY TWP, PA 16066
(724) 772-3388
(724) 772-7021
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
01065165A
IN
207W00000X
Ophthalmology Physician
MD436979
PA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
MD436979
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023382110001
—
PA
Enumeration date
01/30/2008
Last updated
03/10/2022
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