Individual
ELLEN T GEMINIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
319 LONGWOOD AVE, CHILDREN'S HOSPITAL, BOSTON, MA 02115-5728
(617) 355-6028
(617) 731-5298
Mailing address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 355-6028
(617) 731-5298
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
226579
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119510
—
MA
Enumeration date
03/29/2006
Last updated
05/19/2008
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