Individual provider · Type 1 NPI
Miguel Angel Pena, MD
General Practice Physician · Brockton, MA
NPI number
1386394476
Active
Practice location
680 Centre St
Brockton, MA 02302-3308
Mailing address
60 Highland Ave
Cambridge, MA 02139-1040
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| General Practice Physician Primary | 208D00000X | 294426 (MA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1386394476
Miguel Angel Pena, MD's National Provider Identifier is 1386394476, issued on Mar 24, 2022. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Brockton, MA. The record was last updated on Sep 9, 2022.