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Individual

GREGORY MARK BENTZINGER

Active
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Individual

GREGORY MARK BENTZINGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.M

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004287L
PA
213ES0131X
Foot Surgery 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
05/12/2026
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