Healthcare Provider Details

I. General information

NPI: 1891001632
Provider Name (Legal Business Name): GENZYME GENETICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/30/2010
Last Update Date: 08/30/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N VALERIA ST SUITE 308
FRESNO CA
93701-2166
US

IV. Provider business mailing address

5300 MCCONNELL AVE
LOS ANGELES CA
90066-7026
US

V. Phone/Fax

Practice location:
  • Phone: 559-268-8307
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name: MARIA D'ADDARIO
Title or Position: MANAGER GENETIC COUNSELING
Credential:
Phone: 310-482-5583