MEDICARE: DR. CARLOS G PENALOZA ARANIBAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	MA45030	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063525319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLOS G PENALOZA ARANIBAR MD

Provider Business Mailing Address
First Line	:	227 PHILADELPHIA AVE
Second Line	:
City	:	EGG HARBOR CITY
State	:	NJ
Zip	:	08215-1330
Country	:	US
Telephone Number	:	609-965-8063
Fax Number	:	609-965-7771

Provider Business Practice Location Address
First Line	:	227 PHILADELPHIA AVE
Second Line	:
City	:	EGG HARBOR CITY
State	:	NJ
Zip	:	08215-1330
Country	:	US
Telephone Number	:	609-965-8063
Fax Number	:	609-965-7771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	05/08/2008

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