MR. Douglas Bruce Genereux, PA-C is a surgical physician assistant in Providence, RI with 26 years of experience. MR. Douglas Bruce Genereux, PA-C NPI is 1518049469. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
164 SUMMIT AVE
C70
PROVIDENCE, RI
ZIP 02906-853
Phone: (401) 793-3922
Fax: (401) 793-7866
The NPI 1518049469 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/19/2006 and was last updated on 12/27/2012.