Gentilezza, Kenneth W.

Gentilezza, Kenneth W. is an individual health care provider with primary practice located at 5 Morgan Hwy Suite 4, Scranton PA 18508-2641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Gentilezza, Kenneth W. can be contacted via phone (570) 344-3788.

Contact Information

Primary practice address
5 Morgan Hwy Suite 4 Scranton PA 18508-2641
Phone: (570) 344-3788
Fax: (570) 969-9280
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X MD040119L Pennsylvania
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X MD040119L Pennsylvania

Profile Details

NPI number 1528051091
LBN Legal business name Gentilezza, Kenneth W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Feb 16th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528051091 NPPES
Pennsylvania Other 076550 BLUE CARE HMO (FPH)
Pennsylvania Other 250002212 BLUE CARE HMO (FPH)
Pennsylvania Other 70303-1067 BLUE CARE HMO (FPH)
Pennsylvania Other 20038434 BLUE CARE HMO (FPH)
Pennsylvania Other 251645055 BLUE CARE HMO (FPH)
Pennsylvania Other 536118 BLUE CARE HMO (FPH)
Pennsylvania MEDICAID 001216964-0002 BLUE CARE HMO (FPH)
Pennsylvania Other 476988 BLUE CARE HMO (FPH)

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