Individual
GENELLE CHERISE VICKIANNA GITTENS-BACKUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(888) 499-8779
Mailing address
1 FEDERAL ST STE 200, CAMDEN, NJ 08103-1088
(848) 288-6935
(732) 790-0107
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
1014882
MA
2085R0202X
Diagnostic Radiology Physician
25MA12372500
NJ
Other
Enumeration date
04/15/2016
Last updated
03/17/2026
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