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Contact Information

GERALD M PENN, M.D., PHD
650 SHAWAN FALLS DR
DUBLIN, OH43017-2100
 Phone: 614-764-1711
 Fax: 614-889-2652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatopathology

207ZD0900X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for GERALD M PENN · (Male)

NPI # 1073598132
Status Active
Credentials M.D., PHD
Entity Individual
Enumeration date 12/13/2005
Last updated 03/25/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35027499
  • OH Other 1351 RR MEDICARE GRP ID
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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