National Provider Identifier Database

ROSEMARIA GENNUSO, MD – NPI #1093771297
Pediatric Surgery

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.


Contact Information

ROSEMARIA GENNUSO, MD
4410 MEDICAL DR
STE 540
SAN ANTONIO, TX78229-6306
Phone: 210-575-6240
Fax: 210-575-6280
Website:
Specialty Taxonomy Code
* Pediatric Surgery 2086S0120X
Neurological Surgery 207T00000X
Pediatrics 208000000X
Surgical Critical Care 2086S0102X
Surgical Oncology 2086X0206X

* Indicates primary specialty

NPI Profile & details for ROSEMARIA GENNUSO

NPI Number 1093771297
Credentials MD
Entity Individual
Enumeration date 04/25/2006
Last updated 01/27/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • TX License #: M0411
  • TX Medicaid: 178202105
  • Other: 8BX390 BCBS TX
  • TX Other: 178202106 CSHCN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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