NPI
Mark Dennis V Geronimo
NPI 1215132949
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2007-06-21
- Last updated
- 2026-05-29
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Specialties
Licenses
- License MO
- 2010024512
- License IL
- 036128606
- License RI
- MD14813
- License CT
- 52895
Location
- Practice location
- 2090 Wallum Lake Rd
- City
- Pascoag RI
- Postal code
- 02859-1813
- Phone
- (401) 567-5400
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Pascoag, RI. 100 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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