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Individual

MR. GENNARO MARENGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
400 W 7TH ST, FREDERICK, MD 21701-4506
(240) 566-3990
Mailing address
PO BOX 37086, BALTIMORE, MD 21297-3086
(240) 439-8812

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
26NJ00878500
NJ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R238002
MD

Other

Enumeration date
11/13/2018
Last updated
02/25/2022
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