Individual
PENNY VIATOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 TER HEUN DR, FALMOUTH, MA 02540-2503
(508) 548-8989
Mailing address
PO BOX 905, FALMOUTH, MA 02541-0905
(508) 548-8989
(508) 548-5789
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
73419
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071731
—
MA
Enumeration date
06/06/2006
Last updated
07/08/2007
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