Individual
GREGORY MARK BENTZINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
251 CHEROKEE ST, BETHLEHEM, PA 18015-1209
(610) 865-1380
(610) 865-0834
Mailing address
251 CHEROKEE ST, BETHLEHEM, PA 18045
(610) 865-1380
(610) 865-0834
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004287L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001631505
—
PA
01
—
02076701
CAPITAL
PA
01
—
02877400
SENIOR BLUE
PA
01
—
0314119000
AMERIHEALTH 65
PA
01
—
0728620
HIGHMARK
PA
01
—
0810
KEYSTONE HEALTH PLAN EAST
PA
01
—
123440
UNISON
PA
01
—
1517018
GATEWAY
PA
01
—
20010197
AMERIHEALTH MERCY
PA
Enumeration date
10/11/2006
Last updated
08/20/2008
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