Individual
DR. MICHAEL GENEREUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
67 WALNUT AVE, CLARK, NJ 07066-1640
(732) 388-7300
(732) 388-1330
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB11790400
NJ
207Q00000X
Family Medicine Physician
279433
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2012
Last updated
06/12/2023
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