Joseph L Pennacchio
Hematology & Oncology
41 Montvale Ave Hematology & Oncology Center
Stoneham
, Massachusetts 02180-2445
Joseph L Pennacchio
Hematology & Oncology
41 Montvale Ave Hematology & Oncology Center
Stoneham
, Massachusetts 02180-2445
(781) 224-5813
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Joseph L Pennacchio
- 41 Montvale Ave Hematology & Oncology Center
- Stoneham, MA
- Zip : 02180-2445
- Fax : (781) 224-5813
- Phone : (781) 224-5810
Second Address
- Joseph L Pennacchio
- 41 Montvale Ave Hematology & Oncology Center
- Stoneham, MA
- Zip : 02180-2445
- Fax : (781) 224-5813
- Phone : (781) 224-5810
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0003X | Hematology & Oncology | 42715 | MA |
National Provider Identifier
| NPI | 1053387795 |
|---|---|
| Provider Name | Joseph L Pennacchio |
| First Address | Stoneham, MA 02180-2445 |
| Second Address | Stoneham, MA 02180-2445 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2006 |
| Last Update Date | 30/01/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0194662 | (05) | MA |
| 705660 | TUFTS (01) | MA |
| A03065 | BLUE CROSS LEGACY # (01) | MA |
| AA85731 | HARVARD PILGRIM (01) | MA |
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.