Organization
GENESIS PHYSIATRY CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEENA VINCENT (OWNER)
(732) 986-3795
Entity
Organization
Contact information
Practice address
3320 BENSON AVE, HALETHORPE, MD 21227-1035
(732) 986-3795
Mailing address
8508 QUEEN ELIZABETH BLVD, ANNANDALE, VA 22003-4308
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
07/17/2025
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