Dominic D Pennachio, MD
Internal Medicine in Chestnut Hill, Massachusetts
1194830158- Practice location
- 25 Boylston St, Suite 204, Chestnut Hill, MA 02467-1715
- Phone
- 617-754-0400
- Fax
- —
- Last updated
- June 4, 2008
Dominic D Pennachio is an Internal Medicine based in Chestnut Hill, MA. Dominic D Pennachio practices in Chestnut Hill, MA and has the professional credentials of MD. The NPI Number for Dominic D Pennachio is 1194830158 and holds a License No. 56237 (MA). The current practice location address for Dominic D Pennachio is 25 Boylston St, Suite 204, Chestnut Hill, MA 02467-1715 and can be reached out via phone at 617-754-0400.
Provider Profile Details
- NPI Number
- 1194830158
- Provider Name
- Dominic D Pennachio
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 25 Boylston St, Suite 204, Chestnut Hill, MA 02467-1715
- Phone Number
- 617-754-0400
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 20, 2006
- Last Update Date
- June 4, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Boylston St
Suite 204
Chestnut Hill, MA 02467-1715 - City
- Chestnut Hill
- State
- Massachusetts
- Zip
- 02467-1715
- Phone Number
- 617-754-0400
Provider Business Mailing Address Details
- Address
- 25 Boylston St Ste 204
Chestnut Hill, MA 02467-1710 - City
- Chestnut Hill
- State
- MA
- Zip
- 02467-1710
- Phone Number
- 617-754-0400
License Information
- License Number
- 56237
- License State
- MA
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dominic D Pennachio, MD?
The NPI number of Dominic D Pennachio, MD is 1194830158. It was assigned on August 20, 2006 and is currently active in the NPPES registry.
What is the specialty of Dominic D Pennachio, MD?
Dominic D Pennachio, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 56237.
Where does Dominic D Pennachio, MD practice?
The practice location is 25 Boylston St, Suite 204, Chestnut Hill, MA 02467-1715. The office can be reached at 617-754-0400 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194830158 directly on the NPPES registry website.