Intenzo, Charles M.
Intenzo, Charles M. is an individual health care provider with primary practice located at 111 S. 11Th Street Suite 3390, Philadelphia PA 19107-4824. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Nuclear Radiology. Allopathic & Osteopathic Physicians / Nuclear Radiology is his primary health care specialty. Intenzo, Charles M. can be contacted via phone (215) 955-2900.Contact Information
Primary practice address
111 S. 11Th Street Suite 3390
Philadelphia PA 19107-4824
Phone: (215) 955-2900
Fax: (215) 923-1562
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD025932E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | MD025932E | Pennsylvania |
Profile Details
| NPI number | 1669405346 |
|---|---|
| LBN Legal business name | Intenzo, Charles M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2006 |
| Last updated | Dec 10th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669405346 | NPPES |
| Pennsylvania | MEDICAID | 001073932 | |
| Pennsylvania | MEDICAID | 6377505 | |
| Pennsylvania | MEDICAID | 0010739320009 |
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