Individual
DR. BRIAN PENNAROLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(410) 614-5055
(410) 955-0028
Mailing address
1800 ORLEANS ST RM 11379, BALTIMORE, MD 21287-0010
(410) 955-8751
(410) 955-0028
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
D0087728
MD
Other
Enumeration date
06/02/2016
Last updated
07/09/2019
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