Geneslaw, Charles H
Geneslaw, Charles H is an individual health care provider with primary practice located at 1314 Hooper Ave 2Nd Floor, Toms River NJ 08753-2975. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Geneslaw, Charles H can be contacted via phone (732) 286-3600.Contact Information
Primary practice address
1314 Hooper Ave 2Nd Floor
Toms River NJ 08753-2975
Phone: (732) 286-3600
Fax: (732) 341-1717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MA04611500 | New Jersey |
Profile Details
| NPI number | 1619940814 |
|---|---|
| LBN Legal business name | Geneslaw, Charles H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619940814 | NPPES |
| New Jersey | Other | 0K7972 | HEALTHNET |
| New Jersey | Other | 223360408-005 | HEALTHNET |
| New Jersey | MEDICAID | 3389006 | HEALTHNET |
| New Jersey | Other | VP023 | HEALTHNET |
| New Jersey | Other | 0094946 | HEALTHNET |
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