Individual
DR. CHARLES M. INTENZO
Active
Individual
DR. CHARLES M. INTENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
MD025932E
PA
2085R0202X
Diagnostic Radiology Physician
MD025932E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001073932
—
PA
05
—
0010739320009
—
PA
05
—
6377505
—
NJ
Enumeration date
07/08/2006
Last updated
12/10/2019
Update your record
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