Organization · Type 2 NPI
Charles R Genovese JR MD Inc
Specialist · Independence, LA
NPI number
1609177864
Active
Practice location
312 E Rail Road Ave
Independence, LA 70443
Fax (985) 878-3830
Mailing address
PO Box 969
Independence, LA 70443-0969
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 015669 (LA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1609177864
Charles R Genovese JR MD Inc's National Provider Identifier is 1609177864, issued on Nov 4, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Independence, LA. The record was last updated on Nov 4, 2010.