Individual
MARY-CATHERINE GENNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
16 HOSPITAL RD, PLYMOUTH, NH 03264-1126
(603) 536-1881
(603) 238-2198
Mailing address
PO BOX 32, ANDOVER, NH 03216-0032
(603) 735-6060
(877) 521-6764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8933
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04YP07578NH02
ANTHEM
NH
05
—
30006160
—
NH
01
—
742626876
CBA
NH
01
—
742626876
CIGNA
NV
Enumeration date
07/11/2006
Last updated
09/20/2012
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