Active NPIIndividual provider

Karl B Genovese, MD

Family Medicine in Prospect, Connecticut

NPI Number1396275244
Practice location
73 Waterbury RD Ste 1, Prospect, CT 06712-1252
Fax
—
Last updated
July 5, 2022

Karl Benjamin Genovese is a Family Medicine based in Prospect, CT. Karl Benjamin Genovese practices in Prospect, CT and has the professional credentials of MD. The NPI Number for Karl Benjamin Genovese is 1396275244 and holds a License No. D89812 (MD). The current practice location address for Karl Benjamin Genovese is 73 Waterbury RD Ste 1, Prospect, CT 06712-1252 and can be reached out via phone at 203-527-9444.

Provider Profile Details

NPI Number
1396275244
Provider Name
Karl Benjamin Genovese
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
73 Waterbury RD Ste 1, Prospect, CT 06712-1252
Phone Number
203-527-9444
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2017
Last Update Date
July 5, 2022
Certification Date
July 5, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
73 Waterbury RD Ste 1
Prospect, CT 06712-1252
Zip
06712-1252
Phone Number
203-527-9444
Prospect, CT 06712Get directions →

Provider Business Mailing Address Details

Address
73 Waterbury RD Ste 1
Prospect, CT 06712-1252
City
Prospect
State
CT
Zip
06712-1252
Phone Number
203-527-9444

License Information

License Number (1)
D89812
License State (1)
MD
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (3)
71048
License State (3)
CT
Taxonomy (3)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Karl B Genovese, MD?

The NPI number of Karl B Genovese, MD is 1396275244. It was assigned on June 14, 2017 and is currently active in the NPPES registry.

What is the specialty of Karl B Genovese, MD?

Karl B Genovese, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MD under license number D89812.

Where does Karl B Genovese, MD practice?

The practice location is 73 Waterbury RD Ste 1, Prospect, CT 06712-1252. The office can be reached at 203-527-9444 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396275244 directly on the NPPES registry website.

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