Individual provider · NPI-1

Christopher Gennino, D.O.

Family Medicine · Milford, CT

NPI number1649385758
StatusActive
Last updated in NPPESJul 28, 2020

Details

NPI
1649385758
Entity type
Individual (NPI-1)
Name
Christopher Gennino
Credential
D.O.
Sex
Male
Sole proprietor
No
Enumeration date
Aug 20, 2006
Certification date
Jul 28, 2020
Last updated
Jul 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine039660CTYes
207P00000X Emergency Medicine039660CT

Practice location

300 Seaside Ave
Milford, CT 06460-4603

Phone 203-876-4100 · Fax 203-876-4128

Mailing address

300 Seaside Ave
Milford, CT 06460-4603

Phone 203-876-4100 · Fax 203-876-4128

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