# RICHARD E GENOVESE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477792034
- **Authorized official:** RICHARD E GENOVESE (OWNER)
- **Authorized official phone:** (978) 632-5722

## Contact information

- **Practice address:** 52 CENTRAL ST, GARDNER, MA 01440-1662
- **Practice address phone:** (978) 632-5722
- **Mailing address:** 52 CENTRAL ST, GARDNER, MA 01440-1662
- **Mailing address phone:** (978) 632-5722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 001625 | MA | Yes |

## Other

- **Enumeration date:** 02/05/2009
- **Last updated:** 06/27/2013
