Individual
GRACE GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3101 EMRICK BLVD STE 112, BETHLEHEM, PA 18020-8037
(484) 822-5280
(833) 816-5609
Mailing address
3101 EMRICK BLVD STE 112, BETHLEHEM, PA 18020-8037
(484) 822-5280
(833) 816-5609
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT024231
PA
Other
Enumeration date
01/03/2023
Last updated
06/03/2025
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