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Individual

ANTHONY G PENTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
B.S.

Contact information

Practice address
35 SUMMER ST, 202A, TAUNTON, MA 02780-3469
(508) 207-8819
(508) 884-2476
Mailing address
35 SUMMER ST, 202A, TAUNTON, MA 02780-3469
(508) 207-8819
(508) 884-2476

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
S68124815
MA

Other

Enumeration date
04/20/2010
Last updated
04/20/2010
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