Doctor Name: | DR. FRANK J GENOVA |
NPI Number: | 1396803219 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | D0057146 |
Business Practice Address: | 2100 Pennsylvania Ave Nw West End Medical Center Washington, DC - 200373202 |
Business Phone Number: | 2027212200 |
Business Fax Number: | 2027212216 |
Mailing Address: | 2101 East Jefferson Street, Ppqa Medicare Compliance Unit 6 West ROCKVILLE |
State: | MD |
Postal Code: | 208524908 |
Phone Number: | 3018166660 |
Fax Number: | 3018166308 |
NPI Enumeration Date: | 12/04/2006 |
NPI Last Update Date: | 11/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084A0401X |
License Number: | D0057146 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |