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NPI Code Detail

MEDICARE: MARY G. DIGENNARO

MEDICARE: MARY G. DIGENNARO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1619836509
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY G. DIGENNARO
Provider Business Mailing Address
First Line : 1109 VINE ST
Second Line :
City : NEWPORT
State : KY
Zip : 41071-2411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3333 BURNET AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45229-3026
Country : US
Telephone Number : 513-636-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2026
Last Update Date : 01/17/2026

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Directions to “ MARY G. DIGENNARO ” Practice Location

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