Individual
JAN J PENKALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6 BLACKSTONE VALLEY PL, SUITE 501, LINCOLN, RI 02865-1179
(401) 334-2229
(401) 333-2454
Mailing address
6 BLACKSTONE VALLEY PL, SUITE 501, LINCOLN, RI 02865-1179
(401) 334-2229
(401) 333-2454
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD6052
RI
Other
Enumeration date
03/05/2007
Last updated
08/04/2009
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