Individual
GLENN P GENEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
219834
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
219834J597
CONNECTICARE
CT
01
—
34234
HEALTH NEW ENGLAND
MA
01
—
468903
TUFTS HEALTH PLANS
MA
01
—
GEJ27216
BLUE CROSS BLUE SHIELD
MA
01
—
P00181345
RAILROAD MEDICARE
—
Enumeration date
07/08/2005
Last updated
11/08/2007
Update your record
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