Gengo, Diane

Gengo, Diane is an individual health care provider with primary practice located at 1493 Cambridge St , Cambridge MA 02139-1047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Gengo, Diane can be contacted via phone (781) 338-0696.

Contact Information

Primary practice address
1493 Cambridge St Cambridge MA 02139-1047
Phone: (781) 338-0696
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 161690 Massachusetts

Profile Details

NPI number 1649894072
LBN Legal business name Gengo, Diane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2020
Last updated Jun 1st, 2020 - about 4 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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