Genesis Addiction and Behavioral Medicine, LLC
NPI #1487141883 in Newton, New Jersey
Provider Information
- NPI Number
- 1487141883
- Entity Type
- Organization
- Organization Name
- Genesis Addiction and Behavioral Medicine, LLC
- Primary Specialty
- Family Medicine - Addiction Medicine
- Enumeration Date
- Apr 20, 2018
- Last Updated
- Jun 28, 2023
Practice Location
- Address
- 179 HIGH ST STE 101
- City
- Newton
- State
- New Jersey
- ZIP Code
- 07860-1010
- Phone
- (973) 862-4297
Authorized Official
- Name
- MICHAEL R. GANON, DO
- Title
- MEDICAL DIRECTOR
- Phone
- (973) 862-4297
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Addiction Medicine — Addiction Medicine |
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