Individual
DR. F JOHN GENNARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 S PROSPECT ST, 2319 REHAB, UHC CAMPUS, FLETCHER ALLEN HEALTH CARE, BURLINGTON, VT 05401-3456
(802) 847-3572
Mailing address
169 MALLETTS HEAD RD, COLCHESTER, VT 05446-6493
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
042-0006357
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0004514
—
VT
05
—
00691896
—
NY
Enumeration date
08/09/2006
Last updated
07/08/2007
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