Provider Demographics
NPI:1639817927
Name:PENSABENE, JULIA MARIE (DO)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:MARIE
Last Name:PENSABENE
Suffix:
Gender:F
Credentials:DO
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Other - First Name:
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Mailing Address - Street 1:1200 S CEDAR CREST BLVD # 6J
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6202
Mailing Address - Country:US
Mailing Address - Phone:610-402-7712
Mailing Address - Fax:484-224-1306
Practice Address - Street 1:1200 S CEDAR CREST BLVD # 6J
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6202
Practice Address - Country:US
Practice Address - Phone:610-402-7712
Practice Address - Fax:484-224-1306
Is Sole Proprietor?:No
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOT021772208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics