Individual
DR. RICHARD M. GENERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1100 WESCOTT DR, SUITE 108, FLEMINGTON, NJ 08822-4600
(908) 788-7475
(908) 788-6604
Mailing address
1100 WESCOTT DR, SUITE 108, FLEMINGTON, NJ 08822-4600
(908) 788-7475
(908) 788-6604
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
NJ10151
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2932008
—
NJ
Enumeration date
08/09/2005
Last updated
07/08/2007
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