Individual
DR. GINA M DIVENUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 PLEASANT ST, CONCORD, NH 03301-7559
(603) 622-6484
(603) 622-7438
Mailing address
11 KIMBALL DR UNIT 125, HOOKSETT, NH 03106-2623
(603) 622-6484
(603) 622-7438
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
11904
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30203690
—
NH
Enumeration date
05/15/2006
Last updated
10/29/2024
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