| Genesis Metabolics Llc | |
|
2801 Morris Ave Union NJ 07083-4821 | |
| (908) 851-0455 | |
| (908) 851-0708 |
| Full Name | Genesis Metabolics Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2801 Morris Ave, Union, New Jersey |
| Authorized Official Name and Position | Susan Ann Russomano (REGISTERED AGENT/MEMBER/MANAGER) |
| Authorized Official Contact | 9088510455 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Metabolics Llc 2801 Morris Ave Union NJ 07083-4821 Ph: (908) 851-0455 | Genesis Metabolics Llc 2801 Morris Ave Union NJ 07083-4821 Ph: (908) 851-0455 |
| NPI Number | 1952899957 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 01/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952899957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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