# PERINATAL & GYNECOLOGICAL SONOGRAPHY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Genesis OB/GYN Ultrasound Group, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043558471
- **Authorized official:** CAMILLE D WALKER MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (973) 762-4805

## Contact information

- **Practice address:** 1860 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-2905
- **Practice address phone:** (973) 762-4805
- **Practice address fax:** (201) 326-5613
- **Mailing address:** 233 ROCK RD \# 208, GLEN ROCK, NJ 07452-1708
- **Mailing address phone:** (973) 762-4805
- **Mailing address fax:** (201) 326-5613

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207VM0101X | Maternal & Fetal Medicine Physician | 25MA06233200 | NJ | Yes |

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 05/28/2023