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Contact Information

JOSE R PENA, MD
9604 HOLLY POINT DR
HUNTERSVILLE, NC28078-4913
 Phone: 704-316-5070
 Fax: 704-316-5075
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ZD0900X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for JOSE R PENA · (Male)

NPI # 1598741563
Status Active
Credentials MD
Entity Individual
Enumeration date 12/21/2005
Last updated 10/25/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 009000253
  • NC License # 26801
  • NC Medicaid 218605
  • NC Medicaid 5900708
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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