Genereux, Michael

Genereux, Michael is an individual health care provider with primary practice located at 67 Walnut Ave , Clark NJ 07066-1640. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Genereux, Michael can be contacted via phone (732) 388-7300.

Contact Information

Primary practice address
67 Walnut Ave Clark NJ 07066-1640
Phone: (732) 388-7300
Fax: (732) 388-1330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB11790400 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 279433 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1245590231
LBN Legal business name Genereux, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2012
Last updated Jun 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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