Individual provider · Type 1 NPI

Brian Pennarola, MD

Student in an Organized Health Care Education/Training Program · Baltimore, MD

NPI number 1609224401 Active

Practice location

1800 Orleans St
Baltimore, MD 21287-0010

Fax (410) 955-0028

Mailing address

1800 Orleans St Rm 11379
Baltimore, MD 21287-0010

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XD0087728 (MD)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609224401

Brian Pennarola, MD's National Provider Identifier is 1609224401, issued on Jun 2, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Baltimore, MD. The record was last updated on Jul 9, 2019.