# GENESIS PHYSICIAN SERVICES

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

## Provider details

- **NPI number:** 1982053930
- **Authorized official:** JEANNE MARZITELLI DNP, APN-C, CWS (AREA CLINICAL PRACTICE MANAGER-MA-S)
- **Authorized official phone:** (201) 803-6583

## Contact information

- **Practice address:** 212 MARTER AVE, MOORESTOWN, NJ 08057-3114
- **Practice address phone:** (856) 291-4800
- **Mailing address:** 212 MARTER AVE, MOORESTOWN, NJ 08057-3114
- **Mailing address phone:** (856) 291-4800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | SP015869 | PA | Yes |

## Other

- **Enumeration date:** 06/10/2016
- **Last updated:** 06/10/2016