Individual
DR. ALAN STEWART PENZIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 2ND AVE, BOSTON IVF - THE WALTHAM CENTER, WALTHAM, MA 02451
(781) 434-6500
(781) 434-6501
Mailing address
130 2ND AVE, BOSTON IVF - THE WALTHAM CENTER, WALTHAM, MA 02451-1100
(781) 434-6500
(781) 434-6501
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
015833
ME
207VE0102X
Reproductive Endocrinology Physician
272983
NY
207VE0102X
Reproductive Endocrinology Physician
Primary
58565
MA
207VE0102X
Reproductive Endocrinology Physician
MD11056
RI
207VG0400X
Gynecology Physician
015833
ME
207VG0400X
Gynecology Physician
58565
MA
207VG0400X
Gynecology Physician
MD11056
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3095011
—
MA
Enumeration date
05/26/2006
Last updated
05/22/2018
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