Organization
GENESIS COMP CONCUSSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINAY CHOPRA MD (CO-OWNER)
(908) 588-2311
Entity
Organization
Contact information
Practice address
116 S EUCLID AVE STE 1, WESTFIELD, NJ 07090-2187
(908) 588-2311
(908) 588-2319
Mailing address
116 S EUCLID AVE STE 1, WESTFIELD, NJ 07090-2187
(908) 588-2311
(908) 588-2319
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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