Ellen M Penso
Gynecologist
241 Boston Post Rd Suite 3a
Wayland
, Massachusetts 01778-1836
Ellen M Penso
Gynecologist
241 Boston Post Rd Suite 3a
Wayland
, Massachusetts 01778-1836
(508) 358-5709
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Ellen M Penso
- 241 Boston Post Rd Suite 3a
- Wayland, MA
- Zip : 01778-1836
- Fax : (508) 358-5709
- Phone : (508) 358-5707
Second Address
- Ellen M Penso
- 241 Boston Post Rd Suite 3a
- Wayland, MA
- Zip : 01778-1836
- Fax : (508) 358-5709
- Phone : (508) 358-5707
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 47131 | MA |
National Provider Identifier
| NPI | 1053346114 |
|---|---|
| Provider Name | Ellen M Penso |
| First Address | Wayland, MA 01778-1836 |
| Second Address | Wayland, MA 01778-1836 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 09/11/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.