Organization
JOSEPH L PENNACCHIO, MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH L PENNACCHIO MD (OWNER)
(781) 662-6404
Entity
Organization
Contact information
Practice address
50 TREMONT ST, SUITE 104, MELROSE, MA 02176-2721
(781) 662-6404
(781) 665-0658
Mailing address
50 TREMONT ST, SUITE 104, MELROSE, MA 02176-2721
(781) 662-6404
(781) 665-0658
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
42715
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0194662
—
MA
Enumeration date
12/13/2007
Last updated
12/13/2007
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