Individual
DR. BRUCE ERIC GENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
422 KENWOOD RD, HUNTINGDON VALLEY, PA 19006-7812
(215) 450-7744
Mailing address
422 KENWOOD RD, HUNTINGDON VALLEY, PA 19006-7812
(215) 450-7744
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD030763-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0990778
—
PA
Enumeration date
06/08/2007
Last updated
05/18/2021
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