SearchNew Jersey163W00000X

Pauline Pennant

NPI 1396071791 · on the registry since 2009 · sole proprietor

Practice

Address
209 Parker Ave
Maplewood, NJ 07040
Phone
(917) 865-9161

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-10-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey