Organization
PERINATAL & GYNECOLOGICAL SONOGRAPHY SERVICES, LLC
Active
Other names
The Genesis OB/GYN Ultrasound Group, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE D WALKER MD (MEDICAL DIRECTOR)
(973) 762-4805
Entity
Organization
Contact information
Practice address
1860 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-2905
(973) 762-4805
(201) 326-5613
Mailing address
233 ROCK RD # 208, GLEN ROCK, NJ 07452-1708
(973) 762-4805
(201) 326-5613
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
25MA06233200
NJ
Other
Enumeration date
01/18/2013
Last updated
05/28/2023
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