Ellen M Penso M.D.

NPI 1053346114 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1053346114
Gender Female
Enumeration Date 07/11/2006
Last Updated 11/09/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
241 BOSTON POST RD
SUITE 3A
WAYLAND MA, 01778-1836, US
Phone (508) 358-5707
Fax (508) 358-5709
Business Location
241 BOSTON POST RD
SUITE 3A
WAYLAND MA, 01778-1836, US
Phone (508) 358-5707
Fax (508) 358-5709
Toxanomy
Taxonomy Code 207VG0400X
License State Massachusetts
License Number 47131
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According to our database, Ellen M Penso M.D. NPI is 1053346114, taxonomy code is 207VG0400X and license number is 47131, license state is located at Massachusetts. Ellen M Penso M.D. physically located at 241 Boston Post Rd, Wayland MA, 01778-1836. NPI Number Ellen M Penso M.D. has the Individual type.

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1053346114 NPI number is provided on an as is basis without warranty of any kind. 1053346114 is maintained by the National Plan & Provider Enumeration System. The contents of Ellen M Penso M.D. are for informational purposes only.