NPI 1366463069 · live from the CMS NPI Registry
George Gentchos, MD
Radiology, Diagnostic Radiology in Brick, NJ. National Provider Identifier 1366463069, active.
NPI record
| NPI | 1366463069 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 495 Jack Martin Blvd, Brick, NJ 08724 |
| Practice phone | 732-223-9729 |
| Mailing address | 8025 Black Horse Pike Ste 300, Pleasantville, NJ 08232 |
| Enumerated | July 21, 2006 |
| Last updated | February 22, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 042-0010959 (VT) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 25MA11330600 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.