Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 25MA04380900 | NJ |
NPI | 1033175351 |
---|---|
Provider Name | Dr. Alan S Penziner |
First Address | Westampton, NJ 08060-5507 |
Second Address | Westampton, NJ 08060-5507 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2006 |
Last Update Date | 08/07/2007 |