Individual
MARY GENEVIEVE D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2655 NORTHWINDS PARKWAY, PREMIER ANESTHESIA, ALPHARETTA, GA 30009
(877) 742-0399
Mailing address
900 IRVINGTON PL, CHESTER, PA 19013-5216
(484) 678-8690
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN559969
PA
Other
Enumeration date
06/03/2011
Last updated
04/28/2014
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