Individual
JASON RIC TOLENTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4035 GREEN POND RD, BETHLEHEM, PA 18020-9662
(610) 865-5580
Mailing address
608 STOCKER ST, STEWARTSVILLE, NJ 08886-3238
(908) 247-0664
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT021780
PA
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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