Individual
GIOVANNI GENEVEO GERONILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2000 MEADE PKWY STE 100, SUFFOLK, VA 23434-4259
(757) 934-9395
(757) 934-9488
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT192755
PA
208D00000X
General Practice Physician
Primary
0101264599
VA
208D00000X
General Practice Physician
ME125435
FL
Other
Enumeration date
08/14/2008
Last updated
02/20/2019
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