Individual
MIGUEL ANGEL PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 941-7210
Mailing address
60 HIGHLAND AVE, CAMBRIDGE, MA 02139-1040
(619) 534-1060
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
294426
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2022
Last updated
09/09/2022
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