Individual
DR. MICHAEL JOHN GENTLESK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 E EVESHAM RD, SUITE 607, VOORHEES, NJ 08043-4501
(856) 651-9393
(856) 651-9222
Mailing address
2301 E EVESHAM RD, SUITE 607, VOORHEES, NJ 08043-4501
(856) 651-9393
(856) 651-9222
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
25MA02045200
NJ
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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