Individual
LEONORA M GENOBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1308 MORRIS AVENUE, SUITE 202, UNION, NJ 07083-3328
(908) 851-6767
(908) 851-0382
Mailing address
1308 MORRIS AVENUE, SUITE 202, UNION, NJ 07083-3328
(908) 851-6767
(908) 851-0382
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00135300
NJ
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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