Marie Fernicola Pennanen
Surgical Oncologist
5530 Wisconsin Ave Suite 1455
Chevy Chase
, Maryland 20815-4404
Marie Fernicola Pennanen
Surgical Oncologist
5530 Wisconsin Ave Suite 1455
Chevy Chase
, Maryland 20815-4404
(301) 656-9011
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About
Features
Specialties
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Marie Fernicola Pennanen
- Po Box 70626
- Bethesda, MD
- Zip : 20813-0626
- Fax : (301) 656-9011
- Phone : (301) 656-9010
Second Address
- Marie Fernicola Pennanen
- 5530 Wisconsin Ave Suite 1455
- Chevy Chase, MD
- Zip : 20815-4404
- Fax : (601) 656-9011
- Phone : (301) 656-9010
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086X0206X | Surgical Oncologist | 16392 | DC |
National Provider Identifier
| NPI | 1457349615 |
|---|---|
| Provider Name | Marie Fernicola Pennanen |
| First Address | Bethesda, MD 20813-0626 |
| Second Address | Chevy Chase, MD 20815-4404 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/10/2005 |
| Last Update Date | 12/05/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F07199 | (02) |
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.