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Organization

GREGORY M. BENTZINGER, DPM, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GREGORY M BENTZINGER DPM (OWNER)
(610) 865-1380
Entity
Organization

Contact information

Practice address
251 CHEROKEE ST, BETHLEHEM, PA 18015-1209
(610) 865-1380
(610) 865-0834
Mailing address
251 CHEROKEE ST, BETHLEHEM, PA 18015-1209
(610) 865-1380
(610) 865-0834

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004287L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0016315050003
PA
01
02877400
CAPITAL
PA
01
0595161
AETNA
PA
01
0728620
HIGHMARK
PA
01
480028438
PALMETTO
PA
01
4871080001
DMERC
PA
Enumeration date
05/25/2016
Last updated
05/25/2016
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