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Contact Information

DOUGLAS B GENEREUX, PA-C
70 KENYON AVE STE 280
WAKEFIELD, RI02879-4253
 Phone: 401-284-1212
 Fax: 401-788-8730
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for DOUGLAS B GENEREUX · (Male)

NPI Number 1518049469
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/19/2006
Last updated 01/12/2026 - About 5 months ago
Sole proprietor 1 Yes
Identifiers
  • RI License # PA00199
Hospital affiliation(s)
  • KENT COUNTY MEMORIAL HOSPITAL - (Acute Care)
    455 TOLL GATE RD
    WARWICK, RI 02886
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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