Provider Demographics
NPI:1033175351
Name:PENZINER, ALAN S (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:S
Last Name:PENZINER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 BURRS RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:WESTAMPTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08060-5507
Mailing Address - Country:US
Mailing Address - Phone:609-702-7550
Mailing Address - Fax:609-702-1277
Practice Address - Street 1:101 BURRS RD
Practice Address - Street 2:SUITE C
Practice Address - City:WESTAMPTON
Practice Address - State:NJ
Practice Address - Zip Code:08060-5507
Practice Address - Country:US
Practice Address - Phone:609-702-7550
Practice Address - Fax:609-702-1277
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04380900207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology