Whalio Doctors

NPI 1003921065

Brian R Penti, MD

Practitioner Family Medicine Physician Boston, MA

Practice location

Address
850 Harrison Ave Yacc 4, Boston, MA 02118-4001
Phone
(617) 414-2080
Fax
(617) 414-2090
Mailing address
720 Harrison Ave Dob 503, Boston, MA 02118-2371

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 229800 (MA)

Registry record

NPI
1003921065
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Aug 2006
Record last updated
10 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.