Individual
DR. ANTHONY J. GENNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
413 BOULEVARD, HASBROUCK HEIGHTS, NJ 07604-1423
(201) 288-6335
(201) 393-0890
Mailing address
413 BOULEVARD, HASBROUCK HEIGHTS, NJ 07604-1423
(201) 288-6335
(201) 393-0890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA03468400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1278401
—
NJ
Enumeration date
11/17/2006
Last updated
07/08/2007
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