Individual
ADRIANA A PENICAUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
44 BINNEY ST, D1B30, BOSTON, MA 02115-6013
(617) 582-8423
Mailing address
44 BINNEY ST, D1B30, BOSTON, MA 02115-6013
(617) 582-8423
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2042
MA
Other
Enumeration date
05/12/2006
Last updated
08/16/2007
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