IndividualActive
Jeremy Ryan Pena, MD, PHD, MS
NPI 1467688960 · Clinical Pathology Physician · Boston, MA
Provider details
- NPI number
- 1467688960
- Entity type
- Individual
- Primary specialty
- Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD, PHD, MS
- Sex
- Male
- Sole proprietor
- No
- License
- 250350 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
55 Fruit St
Mgh
Boston, MA 02114-2696
Phone: (617) 726-0967
Approximate (ZIP-level) locationGet directions
Mailing address
55 Fruit Street
Boston, MA 02114
Additional practice locations (1)
- 75 Francis StBwhBoston, MA 02115-6106Phone: (617) 732-5500
Registry dates
- Enumerated
- 2009-06-10
- Last updated
- 2025-11-01
- Certified
- 2025-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.