person
Richard E. Genovese, DPM
Primary Podiatric Medicine Podiatrist in Gardner, Massachusetts
NPI 1851381065

Richard E. Genovese is a Primary Podiatric Medicine Podiatrist based in Gardner, MA and is specialized in Primary Podiatric Medicine. Richard E. Genovese practices in Gardner, MA and has the professional credentials of DPM. The NPI Number for Richard E. Genovese is 1851381065 and holds a License No. 1652 (Massachusetts).

The current practice location address for Richard E. Genovese is 31 Lake St, Gardner, MA and can be reached out via phone at 978-632-5722 and via fax at 978-630-3240. You can also correspond with Richard E. Genovese through the mailing address at 31 LAKE ST STE 151, GARDNER, MA - 01440-3889 (mailing address contact number: 978-632-5722).

Location: 31 Lake St, Gardner, MA, 01440-3889
person
Provider Profile Details
NPI Number
1851381065
Provider Name
Richard E. Genovese
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
31 Lake St, Gardner, MA, 01440-3889
Phone Number
978-632-5722
Fax Number
978-630-3240
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0341975 05 MA
institution
Provider Business Practice Location Address Details
Address
31 Lake St
City
State
Zip
01440-3889
Phone Number
978-632-5722
Fax Number
978-630-3240
person
Provider Business Mailing Address Details
Address
31 Lake St
City
State
Zip
01440-3889
Phone Number
978-632-5722
Fax Number
978-630-3240
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Primary Podiatric Medicine
Taxonomy
License No.
1625 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
1625 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot Surgery
Taxonomy
License No.
1652 (Massachusetts)
Definition
Definition to come...
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