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Individual

ALEX JAMES PENNACHIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
505 INDEPENDENCE RD STE 2C, EAST STROUDSBURG, PA 18301-7916
(570) 395-2500
(570) 395-2501
Mailing address
505 INDEPENDENCE RD STE 2C, EAST STROUDSBURG, PA 18301-7916
(570) 395-2500
(570) 395-2501

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060743
PA
363A00000X
Physician Assistant
OA004890
PA

Other

Enumeration date
08/14/2019
Last updated
06/22/2025
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