Individual
MR. JOSEPH P BENTIVEGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN,APN,C,CEN
Contact information
Practice address
1 MEDICAL CENTER BLVD, ACP # 233, CHESTER, PA 19013-3902
(610) 447-7605
(610) 447-6088
Mailing address
1 MEDICAL CENTER BLVD, ACP # 233, CHESTER, PA 19013-3902
(610) 447-7605
(610) 447-6088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NO12037000
NJ
163W00000X
Registered Nurse
RN569452
PA
363LA2100X
Acute Care Nurse Practitioner
26NJ00110200
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
SP008899
PA
Other
Enumeration date
03/29/2007
Last updated
08/10/2015
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