Individual
JEREMY RYAN A PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, MS
Contact information
Practice address
55 FRUIT ST, MGH, BOSTON, MA 02114-2696
(617) 726-0967
Mailing address
55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL, BOSTON, MA 02114
(617) 726-0967
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
250350
MA
207ZC0006X
Clinical Pathology Physician
Primary
250350
MA
Other
Enumeration date
06/10/2009
Last updated
11/01/2025
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