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Contact Information

ALAN GENICOFF, MD
525 WEST ACACIA STREET
STOCKTON, CA95203-2405
 Phone: 209-944-5550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Personal Emergency Response Attendant

146D00000X
Indicates primary specialty

NPI Profile & details for ALAN GENICOFF · (Male)

NPI # 1558370551
Status Active
Credentials MD
Entity Individual
Enumeration date 08/07/2006
Last updated 05/20/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G86130
  • CA Medicaid 00G861300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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