GENTA BACI MD
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1720260367- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 825 FAIRFAX AVE STE 118, NORFOLK, VA, 235071914
- Phone
- (757) 446-5951
Specialties & Taxonomies
Family Medicine
License: MA #237215
Family Medicine
Primary License: VA #0101277505
All Addresses
MAILING
825 FAIRFAX AVE STE 118
NORFOLK, VA, 235071914