Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 25MA10398200 | NJ |
NPI | 1073870697 |
---|---|
Provider Name | Geny Ann George |
First Address | Englewood, NJ 07631-2409 |
Second Address | Englewood, NJ 07631-2409 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2012 |
Last Update Date | 19/06/2019 |