Individual
STEVEN GENDUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2500 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1628
(617) 661-6225
Mailing address
2500 MASSACHUSETTS AVE, CAMBRIDGE, MA 02140-1628
(617) 661-6225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
073
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100073
TUFTS HEALTH PLAN
MA
01
—
Q04320
BCBS OF MA
MA
Enumeration date
12/27/2006
Last updated
07/08/2007
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