Individual
NOEL J GENOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
40 PARK RD, WESTBROOK, ME 04092-3188
(207) 879-3600
Mailing address
144 STATE ST, PORTLAND, ME 04101-3776
(207) 879-3000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-139
ME
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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