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Organization
NICHOLAS GENOVESE MD INC
Active
Organization
NICHOLAS GENOVESE MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS D GENOVESE MD (PRESIDENT)
(908) 239-6938
Entity
Organization
Contact information
Practice address
5395 RUFFIN RD STE 201, SAN DIEGO, CA 92123-1338
(858) 560-0242
Mailing address
5395 RUFFIN RD STE 201, SAN DIEGO, CA 92123-1338
(908) 239-6938
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207X00000X
Orthopaedic Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
NULL
208200000X
Plastic Surgery Physician
—
NULL
Other
Enumeration date
09/03/2026
Last updated
10/09/2026
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