Individual
NICHOLAS GENOVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5395 RUFFIN RD STE 201, SAN DIEGO, CA 92123-1338
(858) 560-0242
Mailing address
1222 LADERA LINDA, DEL MAR, CA 92014-3944
(908) 239-6938
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA12348800
NJ
207X00000X
Orthopaedic Surgery Physician
Primary
A197133
CA
207X00000X
Orthopaedic Surgery Physician
MD486372
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA12348800
NJ MEDICAL LICENSE
NJ
01
—
A197133
CAMEDICALLICENSE
CA
01
—
MD486372
PA MEDICAL LICENSE
PA
Enumeration date
04/04/2018
Last updated
11/13/2025
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