Provider Demographics
NPI:1336985977
Name:GEN BY GEN HEALTH LLC
Entity type:Organization
Organization Name:GEN BY GEN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:MALEK
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:678-908-3424
Mailing Address - Street 1:704 COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-1603
Mailing Address - Country:US
Mailing Address - Phone:678-908-3424
Mailing Address - Fax:
Practice Address - Street 1:704 COUNTRY CLUB RD
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-1603
Practice Address - Country:US
Practice Address - Phone:678-908-3424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty