Organization · Type 2 NPI

Peniel Interventional Care

Addiction Medicine (Family Medicine) Physician · Joppa, MD

NPI number 1871364646 Active

Practice location

318 Spry Island Rd
Joppa, MD 21085-5424

Specialties and licenses

Taxonomy	Code	License
Addiction Medicine (Family Medicine) Physician Primary	207QA0401X	None listed

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

Another provider at this address

Peniel Interventional CarePsychiatric/Mental Health Nurse Practitioner Joppa, MD NPI 1962234849

NPI record

NPI: 1871364646
Entity type: Organization (Type 2)
Issued: Jan 11, 2024
Last updated: Jan 11, 2024
Status: Active

Other names

Peniel Interventional Care · doing business as
Peniel Health Services · doing business as

Authorized official

Elsie Antwiwaa Tweneboah-Koduah, FNP-BC
Owner
(317) 797-9816

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About NPI 1871364646

Peniel Interventional Care's National Provider Identifier is 1871364646, issued on Jan 11, 2024. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Joppa, MD. The record was last updated on Jan 11, 2024.