Individual
VIRGILIO A CENTENERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
120 N 7TH ST STE 200, CHAMBERSBURG, PA 17201-1795
(717) 217-6803
(717) 217-6824
Mailing address
785 5TH AVE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4218
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
210168
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01870328
—
NY
05
—
101965351 0002
—
PA
01
—
5619668
AETNA NON HMO
PA
01
—
8768821
AETNA HMO
PA
01
—
P01161876
RAILROAD MEDICARE
PA
Enumeration date
03/29/2006
Last updated
06/05/2020
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