Individual
DR. CHARLES PATRICK GENNAULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PEASANT VILLAGE LN, SUITE 100, BELLE VERNON, PA 15012-4333
(724) 929-7800
(724) 929-3229
Mailing address
315 STETTLER DR, JEFFERSON HILLS, PA 15025-3164
(412) 287-0699
(724) 929-3229
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD050096L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015218170004
—
PA
05
—
0018903290001
—
PA
05
—
0018903290004
—
PA
Enumeration date
07/07/2005
Last updated
05/08/2017
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