Organization
GENESIS ELDERCARE PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC SHAPIRO (VP, AREA CONTROLLER)
(410) 832-7790
Entity
Organization
Contact information
Practice address
400 E 5350 S, OGDEN, UT 84405-6931
(801) 479-9855
Mailing address
PO BOX 42738, TOWSON, MD 21284-2738
(410) 832-7790
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
04/13/2018
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