Pennisi, Alfio K

Pennisi, Alfio K is an individual health care provider with primary practice located at 100 Carnie Blvd Suite B-5, Voorhees NJ 08043-4512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pennisi, Alfio K can be contacted via phone (856) 751-0123.

Contact Information

Primary practice address
100 Carnie Blvd Suite B-5 Voorhees NJ 08043-4512
Fax: (856) 751-0535
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25MA04964700 New Jersey

Profile Details

NPI number 1902805286
LBN Legal business name Pennisi, Alfio K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated May 31st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902805286 NPPES
Other 1095010 HORIZON NJ HEALTH
Other 1243809 HORIZON NJ HEALTH
Other 0113270000 HORIZON NJ HEALTH
Other 0695243 HORIZON NJ HEALTH
MEDICAID 1256904 HORIZON NJ HEALTH
Other PE524842 HORIZON NJ HEALTH
Other PE524842 HORIZON NJ HEALTH
Other 300047106 HORIZON NJ HEALTH
Other A3738029 HORIZON NJ HEALTH

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