Provider Demographics
NPI:1588080980
Name:GENOVESE, RITA (CHHC)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:
Last Name:GENOVESE
Suffix:
Gender:F
Credentials:CHHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 WHITEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-8204
Mailing Address - Country:US
Mailing Address - Phone:908-591-1703
Mailing Address - Fax:
Practice Address - Street 1:314 WHITEWOOD RD
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-8204
Practice Address - Country:US
Practice Address - Phone:908-591-1703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-10
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education