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Individual

DR. CHARLES H GENESLAW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1314 HOOPER AVE, TOMS RIVER, NJ 08753-2586
(732) 286-3600
(732) 286-3927
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680

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
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