Individual
MR. JOHN A PENNINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
16 MAIN ST, SUITE 205, PLYMOUTH, MA 02360-8300
(508) 747-2772
(508) 747-2772
Mailing address
41 HARBORLIGHT DR, PLYMOUTH, MA 02360-6403
(508) 746-4011
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4294
MA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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