Individual
DR. RICHARD T PENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST YAW 9, HEMATOLOGY/ONCOLOGY, BOSTON, MA 02114-2621
(617) 724-5951
(617) 724-6898
Mailing address
PO BOX 9142, MASS. GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-4800
(617) 726-5867
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
209994
MA
207RX0202X
Medical Oncology Physician
Primary
209994
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2065771
—
MA
01
—
209279
TUFTS HEALTH PLAN
MA
01
—
J23774
BCBS OF MA
MA
Enumeration date
10/26/2005
Last updated
01/11/2017
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