Organization
PAHNKE, PENMAN, AND WHITNEY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG RANDOLPH PAHNKE M.D. (PRESIDENT)
(302) 733-0404
Entity
Organization
Contact information
Practice address
410 FOULK RD, STE 200A, WILMINGTON, DE 19803-3802
(302) 764-2380
(302) 764-3501
Mailing address
4701 OGLETOWN STANTON RD, SUITE 1340, NEWARK, DE 19713-2055
(302) 733-0404
(302) 733-0556
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
C10002136
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253702
—
DE
Enumeration date
06/21/2005
Last updated
03/21/2014
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