Matthew Vance Pennacchia

Physician Assistant · Orange, CT

Individual Active NPI

NPI number 1982287538

Practice location

521 Boston Post Rd
Orange, CT 06477-3506
Phone
(203) 529-3271

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NPI record

NPI
1982287538
Entity type
Individual (Type 1)
Enumeration date
May 2, 2021
Last updated
October 11, 2021
Certified
October 11, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 5310 CT

Mailing address

1700 Broadbridge Ave Unit B27
Stratford, CT 06614-5493
Phone
(203) 722-3028

About Matthew Pennacchia

Matthew Vance Pennacchia is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 521 Boston Post Rd, Orange, CT 06477-3506. The NPI number 1982287538 was assigned on May 2, 2021 and the record was last updated on October 11, 2021.

Matthew Pennacchia lists a license in the registry: #5310 (CT) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew Vance Pennacchia?

The NPI number is 1982287538.

What is the phone number of Matthew Pennacchia?

The phone number listed for the practice location is (203) 529-3271.

Where is Matthew Pennacchia located?

521 Boston Post Rd, Orange, CT 06477-3506.

What is the taxonomy code for Matthew Pennacchia?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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