Pennacchio, Joseph L

Pennacchio, Joseph L is an individual health care provider with primary practice located at 41 Montvale Ave Hematology & Oncology Center, Stoneham MA 02180-2445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Pennacchio, Joseph L can be contacted via phone (781) 224-5810.

Contact Information

Primary practice address
41 Montvale Ave Hematology & Oncology Center Stoneham MA 02180-2445
Phone: (781) 224-5810
Fax: (781) 224-5813
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 42715 Massachusetts

Profile Details

NPI number 1053387795
LBN Legal business name Pennacchio, Joseph L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jan 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053387795 NPPES
Massachusetts MEDICAID 0194662
Massachusetts Other 705660
Massachusetts Other A03065
Massachusetts Other AA85731

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