Individual
DR. GEORGE GENTCHOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
495 JACK MARTIN BLVD, BRICK, NJ 08724
(732) 223-9729
Mailing address
8025 BLACK HORSE PIKE STE 300, PLEASANTVILLE, NJ 08232-2962
(609) 652-8316
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
042-0010959
VT
2085R0202X
Diagnostic Radiology Physician
Primary
25MA11330600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011587
—
VT
Enumeration date
07/21/2006
Last updated
02/22/2022
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