Individual
ERICA M. GENNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 SPRINGFIELD AVE, WESTFIELD, NJ 07090-1024
(908) 228-3600
(908) 228-3621
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA11047400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2018
Last updated
10/01/2021
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