Individual provider · NPI-1

Genta Baci, MD

Family Medicine · Norfolk, VA

NPI number1720260367
StatusActive
Last updated in NPPESMar 2, 2023

Details

NPI
1720260367
Entity type
Individual (NPI-1)
Name
Genta Baci
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Dec 5, 2007
Certification date
Mar 2, 2023
Last updated
Mar 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine0101277505VAYes
207Q00000X Family Medicine237215MA

Practice location

825 Fairfax Ave Ste 118
Norfolk, VA 23507-1914

Phone 757-446-5951

Mailing address

825 Fairfax Ave Ste 118
Norfolk, VA 23507-1914

Other practice locations

1 Boston Medical Ctr Pl # 5
Boston, MA 02118-2908

Phone 617-414-4465

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