Matthew V Pennacchia
Physician Assistant in Orange, Connecticut
1982287538- Practice location
- 521 Boston Post RD, Orange, CT 06477-3506
- Phone
- 203-529-3271
- Fax
- —
- Last updated
- October 11, 2021
Matthew Vance Pennacchia is a Physician Assistant based in Orange, CT. Matthew Vance Pennacchia practices in Orange, CT. The NPI Number for Matthew Vance Pennacchia is 1982287538 and holds a License No. 5310 (CT). The current practice location address for Matthew Vance Pennacchia is 521 Boston Post RD, Orange, CT 06477-3506 and can be reached out via phone at 203-529-3271.
Provider Profile Details
- NPI Number
- 1982287538
- Provider Name
- Matthew Vance Pennacchia
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 521 Boston Post RD, Orange, CT 06477-3506
- Phone Number
- 203-529-3271
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 2, 2021
- Last Update Date
- October 11, 2021
- Certification Date
- October 11, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 521 Boston Post RD
Orange, CT 06477-3506 - City
- Orange
- State
- Connecticut
- Zip
- 06477-3506
- Phone Number
- 203-529-3271
Provider Business Mailing Address Details
- Address
- 1700 Broadbridge Ave Unit B27
Stratford, CT 06614-5493 - City
- Stratford
- State
- CT
- Zip
- 06614-5493
- Phone Number
- 203-722-3028
License Information
- License Number
- 5310
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · 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 Matthew V Pennacchia?
The NPI number of Matthew V Pennacchia is 1982287538. It was assigned on May 2, 2021 and is currently active in the NPPES registry.
What is the specialty of Matthew V Pennacchia?
Matthew V Pennacchia is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 5310.
Where does Matthew V Pennacchia practice?
The practice location is 521 Boston Post RD, Orange, CT 06477-3506. The office can be reached at 203-529-3271 (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 1982287538 directly on the NPPES registry website.