Provider Demographics
NPI:1356409130
Name:GEORGES, RENEE N (MD)
Entity type:Individual
Prefix:DR
First Name:RENEE
Middle Name:N
Last Name:GEORGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5405
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00823-5405
Mailing Address - Country:US
Mailing Address - Phone:732-685-5800
Mailing Address - Fax:888-711-8635
Practice Address - Street 1:4000 BEESTON HILL MEDICAL CTR STE 11
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-5254
Practice Address - Country:US
Practice Address - Phone:340-514-2480
Practice Address - Fax:888-711-8635
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06736200282N00000X
VI1050282N00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00209448OtherMEDICARE RAILROAD
NJ0037834Medicaid
NJ3609339OtherAETNA HMO
NJAMERIGROUPOther241994
NJ7652265OtherAETNA PPO
NJ2K7314OtherHEALTHNET
NJ0037834Medicaid