Individual
JOHN PENNACCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
195 LITTLE ALBANY ST, NEW BRUNSWICK, NJ 08901-1914
(732) 235-2465
Mailing address
317 GEORGE ST, UNIVERSITY MEDICAL GROUP 3RD FLOOR, NEW BRUNSWICK, NJ 08901-2008
(732) 235-8282
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
25MA052478
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5492700
—
NJ
Enumeration date
10/25/2006
Last updated
07/08/2007
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