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Dr. Sam Pennella, MD
General Practice Physician in Lebanon, New Jersey
NPI 1124524038

Sam Pennella is a General Practice Physician based in Lebanon, NJ. Sam Pennella practices in Lebanon, NJ and has the professional credentials of MD. The NPI Number for Sam Pennella is 1124524038 and holds a License No. 4301510893 (New Jersey).

The current practice location address for Sam Pennella is 14 Glennon Farm Ln, Lebanon, NJ and can be reached out via phone at 908-208-8926.

Location: 14 Glennon Farm Ln, Lebanon, NJ, 08833-4504
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1124524038
Provider Name
Sam Pennella
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14 Glennon Farm Ln, Lebanon, NJ, 08833-4504
Phone Number
908-208-8926
Fax Number
Provider Enumeration Date
04/02/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14 Glennon Farm Ln
City
Lebanon
State
New Jersey
Zip
08833-4504
Phone Number
908-208-8926
Fax Number
person
Provider Business Mailing Address Details
Address
14 Glennon Farm Ln
City
Lebanon
State
New Jersey
Zip
08833-4504
Phone Number
908-208-8926
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
4301510893 (Michigan)
Definition
Definition to come...
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