Individual
DR. CHARLES JOHN GENOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC,CCSP
Contact information
Practice address
484 DELSEA DR, SEWELL, NJ 08080-9327
(856) 582-2112
(856) 582-2290
Mailing address
484 DELSEA DR, SEWELL, NJ 08080-9327
(856) 582-2112
(856) 582-2290
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00364200
NJ
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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