Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peniel Interventional Care

Organization Addiction Medicine (Family Medicine) Physician · NPI 1871364646

Peniel Interventional Care is an Addiction Medicine (Family Medicine) Physician in Joppa, Maryland. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

318 Spry Island Rd
Joppa, MD 21085-5424
Phone: (317) 797-9816
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Family Medicine) Physician (primary) Taxonomy 207QA0401X

Record details

NPI number1871364646
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elsie Tweneboah-Koduah — Owner · (317) 797-9816
Other names Peniel Interventional Care; Peniel Health Services
NPI enumeratedJanuary 11, 2024
Last updated in NPPESJanuary 11, 2024
Certification dateJanuary 11, 2024
Mailing address318 Spry Island Rd, Joppa, MD 21085-5424