MATTHEW VANCE PENNACCHIA

ORANGE, CT
NPI1982287538
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CT  5310)
Enumeration Date2021-05-02
Last Update Date2021-10-11
Business Address
MATTHEW VANCE PENNACCHIA
521 BOSTON POST RD
ORANGE, CT 06477-3506
Phone number: 203-529-3271
Mailing Address
MATTHEW VANCE PENNACCHIA
1700 BROADBRIDGE AVE UNIT B27
STRATFORD, CT 06614-5493
Phone number: 203-722-3028
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