Individual
JOSEPH L PENNACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
41 MONTVALE AVE, HEMATOLOGY & ONCOLOGY CENTER, STONEHAM, MA 02180-2445
(781) 224-5810
(781) 224-5813
Mailing address
41 MONTVALE AVE, HEMATOLOGY & ONCOLOGY CENTER, STONEHAM, MA 02180-2445
(781) 224-5810
(781) 224-5813
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
42715
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194662
—
MA
01
—
705660
TUFTS
MA
01
—
A03065
BLUE CROSS LEGACY #
MA
01
—
AA85731
HARVARD PILGRIM
MA
Enumeration date
02/23/2006
Last updated
01/30/2013
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