Divenuti, Gina M

Divenuti, Gina M is an individual health care provider with primary practice located at 250 Pleasant St , Concord NH 03301-7559. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Divenuti, Gina M can be contacted via phone (603) 622-6484.

Contact Information

Primary practice address
250 Pleasant St Concord NH 03301-7559
Phone: (603) 622-6484
Fax: (603) 622-7438
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 11904 New Hampshire

Profile Details

NPI number 1912958703
LBN Legal business name Divenuti, Gina M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 15th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912958703 NPPES
New Hampshire MEDICAID 30203690

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