Individual
PAGE B PENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-7547
(617) 278-6963
Mailing address
31 WHITE OAK RD, WABAN, MA 02468-1322
(617) 732-7547
(617) 278-6963
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
239039
MA
2084N0600X
Clinical Neurophysiology Physician
239039
MA
Other
Enumeration date
09/20/2006
Last updated
10/24/2012
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