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Search › Rhode Island › 207Q00000X

Mark Geronimo, MD

NPI 1215132949 · on the registry since 2007

Practice

Address
2090 Wallum Lake Rd
Pascoag, RI 02859
Phone
(401) 567-5400
Fax
(401) 567-4003
Organisation at this address
Breakwater Counseling, Llc
Eleanor Slater Hospital Zambarano Unit
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Also registered as
207Q00000X
208M00000X
207Q00000X
207Q00000X
208M00000X
Licence states on file
MO, IL, RI, CT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Rhode Island