Individual
DENNIS R. PANNULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
281 E HARTFORD AVE, UXBRIDGE, MA 01569-1278
(508) 278-5573
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
50619
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030217
BMC HEALTHNET
—
01
—
050619
TUFTS
—
01
—
406524
RI BLUE CHIP
—
01
—
5411703
CIGNA
—
01
—
55332
FALLON
—
01
—
AA33669
HPHC
MA
01
—
J02284
MABC
MA
Enumeration date
07/21/2006
Last updated
07/27/2011
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