Matthew V. Pennacchia
Physician Assistant · Orange, CT
UnclaimedNPI 1982287538
- Primary taxonomy
- 363A00000X
- Enumerated
- 2021-05-02
- Practice location
- Orange, CT
- Last NPPES update
- 2021-10-11
State licenses
- CT · Physician assistant · Physician AssistantActivethrough 2027
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.