Genovese, Richard E.

Genovese, Richard E. is an sole proprietor health care provider with primary practice located at 31 Lake St Suite 151, Gardner MA 01440-3889. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery, Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine. Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine is his primary health care specialty. Genovese, Richard E. can be contacted via phone (978) 632-5722.

Contact Information

Primary practice address
31 Lake St Suite 151 Gardner MA 01440-3889
Phone: (978) 632-5722
Fax: (978) 630-3240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1652 Massachusetts
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1625 Massachusetts
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 1625 Massachusetts

Profile Details

NPI number 1851381065
LBN Legal business name Genovese, Richard E.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Mar 30th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851381065 NPPES
Massachusetts MEDICAID 0341975

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