Individual
DR. THOMAS GENUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2435 W BELVEDERE AVE, SUITE 42, BALTIMORE, MD 21215-5224
(410) 601-0600
(410) 601-5835
Mailing address
2401 W BELVEDERE AVE, ATTN: CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5524
(410) 601-8946
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D55119
MD
2086S0102X
Surgical Critical Care Physician
D55119
MD
2086S0127X
Trauma Surgery Physician
D55119
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C31152
R/R MEDICARE GROUP #
MD
01
—
P00089285
R/R MEDICARE PROVIDER #
MD
Enumeration date
05/12/2006
Last updated
11/28/2007
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