Doctor Name: | MRS. CAROLYN SEVAL GENATOSSIO |
NPI Number: | 1033329636 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN,MPH |
License Number: | 109872 |
Business Practice Address: | 333 South St Medfield, MA - 020523131 |
Business Phone Number: | 5083595714 |
Business Fax Number: | |
Mailing Address: | 333 South St, MEDFIELD |
State: | MA |
Postal Code: | 020523131 |
Phone Number: | 5083595714 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0200X |
License Number: | 109872 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |