Organization
RICHARD E GENOVESE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD E GENOVESE (OWNER)
(978) 632-5722
Entity
Organization
Contact information
Practice address
52 CENTRAL ST, GARDNER, MA 01440-1662
(978) 632-5722
Mailing address
52 CENTRAL ST, GARDNER, MA 01440-1662
(978) 632-5722
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
001625
MA
Other
Enumeration date
02/05/2009
Last updated
06/27/2013
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