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NPI Code Detail

MEDICARE: MR. ROBERT GENNARO RESTA M.S., C.G.C.

MEDICARE: MR. ROBERT GENNARO RESTA M.S., C.G.C.
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
1170300000XGenetic Counselor (M.S.)

General Provider Information

NPI Number : 1700874419
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ROBERT GENNARO RESTA M.S., C.G.C.
Provider Business Mailing Address
First Line : 747 BROADWAY
Second Line : SWEDISH MEDICAL CENTER
City : SEATTLE
State : WA
Zip : 98122-4379
Country : US
Telephone Number : 206-386-2101
Fax Number : 206-386-2555
Provider Business Practice Location Address
First Line : 747 BROADWAY
Second Line : SWEDISH MEDICAL CENTER
City : SEATTLE
State : WA
Zip : 98122-4379
Country : US
Telephone Number : 206-386-2101
Fax Number : 206-386-2555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2005
Last Update Date : 07/08/2007

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