Genovese Primary Care | |
639 Stokes Rd Suite 102 Medford NJ 08055-3003 | |
(609) 245-0416 | |
(609) 245-0419 |
Full Name | Genovese Primary Care |
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Speciality | Family Medicine |
Location | 639 Stokes Rd, Medford, New Jersey |
Authorized Official Name and Position | Cynthia Genovese (OWNER/PHYSICIAN) |
Authorized Official Contact | 6092450416 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Genovese Primary Care 639 Stokes Rd Suite 102 Medford NJ 08055-3003 Ph: (609) 245-0416 | Genovese Primary Care 639 Stokes Rd Suite 102 Medford NJ 08055-3003 Ph: (609) 245-0416 |
NPI Number | 1013394998 |
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Provider Enumeration Date | 04/30/2015 |
Last Update Date | 07/10/2015 |
Medicare PECOS PAC ID | 6406167832 |
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Medicare Enrollment ID | O20150625001603 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013394998 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 25MA08575200 (New Jersey) | Primary |
Provider Name | Cynthia M Genovese |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902034242 PECOS PAC ID: 0345394177 Enrollment ID: I20090813000460 |
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