| Christopher Gennino, DO | |
|
300 Seaside Ave, Milford, CT 06460-4603 | |
| (203) 876-4100 | |
| (203) 876-4128 |
| Full Name | Christopher Gennino |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 300 Seaside Ave, Milford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649385758 | NPI | - | NPPES |
| 1396605 | Other | CT | UPIN # |
| 31306 | Other | CT | CONTROL SUBSTANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 039660 (Connecticut) | Secondary |
| 207Q00000X | Family Medicine | 039660 (Connecticut) | Primary |
| Entity Name | Advanced Allergy Immunology & Asthma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780933937 PECOS PAC ID: 8426209313 Enrollment ID: O20121128000005 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Gennino, DO 300 Seaside Ave, Milford, CT 06460-4603 Ph: (203) 876-4100 | Christopher Gennino, DO 300 Seaside Ave, Milford, CT 06460-4603 Ph: (203) 876-4100 |
Christie C Marcus, APRN Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 256 Seaside Ave, Milford, CT 06460 Phone: 475-882-6824 | |
Dr. Thomas Joseph Abbenante, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 849 Boston Post Rd Ste 201, Milford, CT 06460 Phone: 203-529-3271 Fax: 203-529-3273 |