Individual
DENNIS R. PANNULLO
Active
Individual
DENNIS R. PANNULLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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