Individual
DR. CHARLES H GENESLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA04611500
NJ
208000000X
Pediatrics Physician
Primary
MA04611500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0094946
RAILROAD MEDICARE
NJ
01
—
0K7972
HEALTHNET
NJ
01
—
223360408-005
QUALCARE
NJ
05
—
3389006
—
NJ
01
—
VP023
OXFORD
NJ
Enumeration date
02/08/2006
Last updated
01/15/2026
Update your record
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