Organization
GENESIS PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE MARZITELLI DNP, APN-C, CWS (AREA CLINICAL PRACTICE MANAGER-MA-S)
(201) 803-6583
Entity
Organization
Contact information
Practice address
212 MARTER AVE, MOORESTOWN, NJ 08057-3114
(856) 291-4800
Mailing address
212 MARTER AVE, MOORESTOWN, NJ 08057-3114
(856) 291-4800
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
SP015869
PA
Other
Enumeration date
06/10/2016
Last updated
06/10/2016
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