Organization
ROBERT R PENNELL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT RALPH PENNELL MD (PRESIDENT)
(781) 593-5430
Entity
Organization
Contact information
Practice address
225 BOSTON STREET, SUITE 106, LYNN, MA 01904
(781) 593-5430
(781) 593-6149
Mailing address
225 BOSTON STREET, SUITE 106, LYNN, MA 01904
(781) 593-5430
(781) 593-6149
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
36534
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9722092
—
MA
Enumeration date
09/10/2007
Last updated
09/10/2007
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