Genga, Bruce C.
Genga, Bruce C. is an individual health care provider with primary practice located at 65 Newton St , Northborough MA 01532-1114. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Genga, Bruce C. can be contacted via phone (508) 393-6590.Contact Information
Primary practice address
65 Newton St
Northborough MA 01532-1114
Phone: (508) 393-6590
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN200044 | Massachusetts |
Profile Details
NPI number | 1487615217 |
---|---|
LBN Legal business name | Genga, Bruce C. |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 31st, 2006 |
Last updated | Sep 16th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487615217 | NPPES |
Massachusetts | MEDICAID | 110106155A |
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