Organization
GLENVILLE MEDICAL PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA PENN MD (OWNER/PHYSICIAN)
(310) 551-2750
Entity
Organization
Contact information
Practice address
3599 BOULEVARD STE B, COLONIAL HEIGHTS, VA 23834-1300
(310) 551-2750
(888) 972-8038
Mailing address
3599 BOULEVARD STE B, COLONIAL HEIGHTS, VA 23834-1300
(310) 551-2750
(888) 972-8038
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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