Douglas Bruce Genereux in Providence - Surgical

Douglas Bruce Genereux - NPI 1518049469

Douglas Bruce Genereux is a Surgical in Providence, Rhode Island. Douglas Bruce Genereux practices all healthcare services and medical treatments related to Surgical. The NPI Number for Douglas Bruce Genereux is 1518049469. The last update date is 2012-12-27.

Douglas Bruce Genereux's current location address is 164 Summit Ave, Providence, Rhode Island. You can contact this provider via phone number 4017933922 and fax number 4017937866. The mailing address for Douglas Bruce Genereux is 164 Summit Ave, Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Bruce Genereux
Address 164 Summit Ave, Providence, Rhode Island
Phone Number 4017933922
Fax Number 4017937866
Sole Proprietor Y
Credentials PA-C

NPI Number Detail

NPI Number 1518049469
Provider Enumeration Date 2006-10-19
Last Updated Date 2012-12-27

Provider Mailing Address Detail

Address 164 Summit Ave
City Providence
State Rhode Island (RI)
Post Code 29062853
Phone Number 4017933922
Fax Number 4017937866

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No PA00199
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Douglas Bruce Genereux

What is the unique 10-digit identification code issued to Douglas Bruce Genereux by the Centers for Medicare & Medicaid Services?

The Douglas Bruce Genereux has been assigned the NPI (National Provider Identifier) 1518049469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Douglas Bruce Genereux is physically located?

The Douglas Bruce Genereux is physically situated at the following address: 164 Summit Ave, Providence, RI, 29062853.

What is the Douglas Bruce Genereux's area of specialization and corresponding taxonomy classification?

The Douglas Bruce Genereux's specialty field is Surgical, and it falls under the taxonomy code 363As0400X, which categorizes healthcare providers based on their specialties.

When did the Douglas Bruce Genereux receive its 1518049469?

The Douglas Bruce Genereux was issued its 1518049469 on 2006-10-19, which is the date when the organization was assigned this unique identifier.

When was the Douglas Bruce Genereux's information last updated?

The Douglas Bruce Genereux's information was last updated on 2012-12-27.

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