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1851147425
EDWIN ANTONIO PENA
NEWARK, NJ
NPI
1851147425
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-25
Last Update Date
2024-04-25
Business Address
Dr. EDWIN ANTONIO PENA MD
150 BERGEN ST
NEWARK, NJ 07103-2496
Phone number: 973-972-4300
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Mailing Address
Dr. EDWIN ANTONIO PENA MD
32 CORABELLE AVE
LODI, NJ 07644-1604
Phone number: 908-803-1903
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