Individual
ROBERT GENNARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 SHELBURNE RD, OBGYN ASSOCIATES, PC, STAMFORD, CT 06902-3628
(203) 276-7060
Mailing address
12 CAMBRIDGE DR, CREDENTIALS XPRESS, TRUMBULL, CT 06611-4764
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
028989
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001289893
—
CT
Enumeration date
09/15/2006
Last updated
07/08/2007
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