RICHARD E GENOVESE, DPM, Primary Podiatric Medicine GARDNER, MA

Contact Information

RICHARD E GENOVESE, DPM

31 LAKE ST
SUITE 151
GARDNER, MA 01440-3889

Phone: 978-632-5722
Fax: 978-630-3240
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Podiatric Medicine	213EP1101X	48	Podiatry
Surgery, Foot	213ES0131X	48	Podiatry
Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for RICHARD E GENOVESE · (Male)

NPI #	`1851381065`
Status	Active
Credentials	DPM (Doctor of Podiatric Medicine)
Entity	Individual
Enumeration date	10/27/2005
Last updated	03/30/2021 - About 5 years ago
Sole proprietor ¹	Yes
Identifiers	MA License # 1625 MA License # 1652 MA Medicaid 0341975
Hospital affiliation(s)	ATHOL MEMORIAL HOSPITAL - (Critical Access) 2033 MAIN STREET ATHOL, MA 01331 HEYWOOD HOSPITAL - (Acute Care) 242 GREEN STREET GARDNER, MA 01440

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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RICHARD E GENOVESE, DPM – NPI #1851381065Primary Podiatric Medicine

Contact Information

Specialty

Primary Podiatric Medicine

Surgery, Foot

Surgery, Foot & Ankle

NPI Profile & details for RICHARD E GENOVESE · (Male)

Reviews for RICHARD E GENOVESE

RICHARD E GENOVESE, DPM – NPI #1851381065
Primary Podiatric Medicine