| Samuel Pennella Md Inc | |
|
14 Glennon Farm Ln Lebanon NJ 08833-4504 | |
| (908) 208-8926 | |
| Not Available |
| Full Name | Samuel Pennella Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 14 Glennon Farm Ln, Lebanon, New Jersey |
| Authorized Official Name and Position | Samuel Pennella (CEO) |
| Authorized Official Contact | 9082088926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Pennella Md Inc 615 Grove St Clifton NJ 07013-3846 Ph: () - | Samuel Pennella Md Inc 14 Glennon Farm Ln Lebanon NJ 08833-4504 Ph: (908) 208-8926 |
| NPI Number | 1942947965 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 08/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942947965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
Annandale Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56 Payne Rd, Suite 21, Lebanon, NJ 08833 Phone: 908-238-0100 Fax: 908-238-0951 |