Individual
DAVID PENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
27 PARK ST, HYANNIS, MA 02601-5230
(508) 862-5981
Mailing address
12 GILL ST, STE 3000, WOBURN, MA 01801-1728
(781) 937-4522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
50240
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2086026
—
MA
01
—
L08013
BLUE SHIELD
MA
Enumeration date
05/11/2006
Last updated
04/30/2008
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