Individual
DR. BARTLEY GRAY CILENTO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, CHILDRENS UROLOGICAL FOUNDATION, BOSTON, MA 02115-5724
(617) 355-8338
(617) 730-0474
Mailing address
300 LONGWOOD AVE, CHILDRENS UROLOGICAL FOUNDATION, BOSTON, MA 02115-5724
(617) 355-8338
(617) 730-0474
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
156057
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000009231
BMC
—
01
—
0012992
NHP
—
01
—
11273
HNE
—
01
—
156057
TUFTS
—
01
—
1900235
UNI1
—
01
—
30200111
WNH
—
05
—
3176801
—
MA
01
—
47667
FCHP
—
01
—
601850
HPHC
—
01
—
7007980004
CIG2
—
01
—
994862
NETHE
—
01
—
AA8298
HPHC
—
01
—
P1698214
OXFORD
—
01
—
Z11048
HEALT
—
Enumeration date
12/28/2005
Last updated
09/23/2011
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