Individual
MS. BEVERLEY J GENETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
1611 POND ROAD, SUITE 101 LEHIGH VALLEY WOMENS CANCER CENTER, ALLENTOWN, PA 18104-2258
(610) 366-8555
(610) 366-8550
Mailing address
1611 POND ROAD, SUITE 101 LEHIGH VALLEY WOMENS CANCER CENTER, ALLENTOWN, PA 18104-2258
(610) 366-8555
(610) 366-8550
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN-296009L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001718035-0004
—
PA
01
—
020640
MEDICARE ID UNSPECIFIED
PA
Enumeration date
07/21/2006
Last updated
05/23/2008
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