CAROL ANDREA LAURETTE PENN

RED BANK, NJ
NPI1265711576
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: NJ  25MB09343300)
Additional Taxonomies207Q00000X Family Medicine
(Licence: PA  OT014041)
Enumeration Date2011-08-04
Last Update Date2016-04-08
Business Address
Dr. CAROL ANDREA LAURETTE PENN D.O.
72 HARRISON AVE
RED BANK, NJ 07701-2375
Phone number: 732-363-6655
Mailing Address
Dr. CAROL ANDREA LAURETTE PENN D.O.
101 2ND ST
LAKEWOOD, NJ 08701-3324
Phone number: