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Contact Information

CHARLES R GENOVESE JR, MD
312 EAST RAILROAD AVENUE
INDEPENDENCE, LA70443
 Phone: 985-878-4183
 Fax: 985-878-3830
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CHARLES R GENOVESE JR · (Male)

NPI Number 1891719985
Status Active
Credentials MD
Entity Individual
Enumeration date 07/26/2006
Last updated 12/27/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • LA License # 015669
  • LA License # MD.015669
  • LA Medicaid 1335681
Hospital affiliation(s)
  • NORTH OAKS MEDICAL CENTER LLC - (Acute Care)
    15790 PAUL VEGA MD DRIVE
    HAMMOND, LA 70403
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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