Individual
GARY INGENITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1023 QUINCY AVE, SCRANTON, PA 18510-1121
(310) 279-7749
Mailing address
1023 QUINCY AVE, SCRANTON, PA 18510-1121
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD046030L
PA
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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