Individual
DR. JOHN GENTLESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2301 EVESHAM ROAD, SUITE 207, VOORHEES, NJ 08043-4504
(185) 677-2111
(185) 677-2922
Mailing address
2301 EVESHAM ROAD, SUITE 207, VOORHEES, NJ 08043-4504
(185) 677-2111
(185) 677-2922
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
MD02135
NJ
213ES0000X
Sports Medicine Podiatrist
MD02135
NJ
213ES0131X
Foot Surgery Podiatrist
MD02135
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000046385
HIGHMARK BLUE SHIELD
NJ
01
—
01000453900
AMERICHOICE
NJ
01
—
0321123000
AMERIHEALTH
NJ
05
—
5245508
—
NJ
Enumeration date
06/14/2006
Last updated
06/17/2008
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