Dominic D Pennachio in Chestnut Hill - Internal Medicine

Dominic D Pennachio - NPI 1194830158

Dominic D Pennachio is a Internal Medicine in Chestnut Hill, Massachusetts. Dominic D Pennachio practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Dominic D Pennachio is 1194830158. The last update date is 2008-06-04.

Dominic D Pennachio's current location address is 25 Boylston St Ste 204, Chestnut Hill, Massachusetts. You can contact this provider via phone number 6177540400. The mailing address for Dominic D Pennachio is 25 Boylston St Ste 204, Chestnut Hill, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Dominic D Pennachio
Address 25 Boylston St Ste 204, Chestnut Hill, Massachusetts
Phone Number 6177540400
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1194830158
Provider Enumeration Date 2006-08-20
Last Updated Date 2008-06-04

Provider Mailing Address Detail

Address 25 Boylston St Ste 204
City Chestnut Hill
State Massachusetts (MA)
Post Code 24671710
Phone Number 6177540400
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 56237
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
J06834 MA BLUE CROSS
3025691 MA --

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FAQs about Dominic D Pennachio

What is the unique provider identifier assigned to Dominic D Pennachio?

The Dominic D Pennachio has been issued the NPI (National Provider Identifier) 1194830158 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Dominic D Pennachio is located?

The Dominic D Pennachio is situated at the following address: 25 Boylston St Ste 204, Chestnut Hill, MA, 24671710.

What is Dominic D Pennachio's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dominic D Pennachio is Internal Medicine, and the taxonomy code that categorizes this field of expertise is 207R00000X.

On what date did Dominic D Pennachio receive its 1194830158 assignment from the Centers for Medicare & Medicaid Services?

The Dominic D Pennachio was assigned its 1194830158 on 2006-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Dominic D Pennachio most recently updated?

The details pertaining to the Dominic D Pennachio, including its address, specialty, and other relevant information, were last refreshed on 2008-06-04.

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