Individual
JEREMY RYAN A PENA
Active
Individual
JEREMY RYAN A PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD, MS
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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