# GENNARO FAMILY PRACTICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366476525
- **Authorized official:** MARY-CATHERINE GENNARO DO (OWNER)
- **Authorized official phone:** (603) 536-1200

## Contact information

- **Practice address:** 15 TOWN WEST RD, PLYMOUTH, NH 03264-3428
- **Practice address phone:** (603) 536-1200
- **Mailing address:** PO BOX 32, ANDOVER, NH 03216-0032
- **Mailing address phone:** (603) 735-6060
- **Mailing address fax:** (603) 735-6070

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | 8933 | NH | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 08/22/2020