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Individual

DR. ELISABETH ROSL GENNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
14 RESEARCH PL, N CHELMSFORD, MA 01863-2412
(978) 454-2715
(978) 259-4697
Mailing address
14 RESEARCH PL, N CHELMSFORD, MA 01863-2412
(978) 454-2715
(978) 259-4697

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
270444
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023300670
NPI
Enumeration date
05/13/2011
Last updated
03/17/2018
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