Organization
GENNARO FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-CATHERINE GENNARO DO (OWNER)
(603) 536-1200
Entity
Organization
Contact information
Practice address
15 TOWN WEST RD, PLYMOUTH, NH 03264-3428
(603) 536-1200
Mailing address
PO BOX 32, ANDOVER, NH 03216-0032
(603) 735-6060
(603) 735-6070
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
Primary
8933
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30213803
—
NH
01
—
788360
MVP
NH
Enumeration date
07/11/2006
Last updated
08/22/2020
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