Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | MD469533 | PA |
NPI | 1174979298 |
---|---|
Provider Name | Dr. Adam Francis Pennarola |
First Address | Philadelphia, PA 19107-5005 |
Second Address | Philadelphia, PA 19107-4405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2016 |
Last Update Date | 20/07/2020 |