Individual
EMMA ELEANOR TAYLOR PENNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
60 FENWOOD RD, BOSTON, MA 02115
(617) 732-6600
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01343
RI
363A00000X
Physician Assistant
—
—
Other
Enumeration date
03/26/2019
Last updated
01/30/2024
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