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Dr. Charles M. Intenzo, MD
Nuclear Radiology Physician in Philadelphia, Pennsylvania
NPI 1669405346

Charles M. Intenzo is a Nuclear Radiology Physician based in Philadelphia, PA and is specialized in Nuclear Radiology. Charles M. Intenzo practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Charles M. Intenzo is 1669405346 and holds a License No. MD025932E (Pennsylvania).

The current practice location address for Charles M. Intenzo is 111 S. 11Th Street, Philadelphia, PA and can be reached out via phone at 215-955-2900 and via fax at 215-923-1562. You can also correspond with Charles M. Intenzo through the mailing address at 111 S. 11TH STREET, PHILADELPHIA, PA - 19107-4824 (mailing address contact number: 215-955-2900).

Location: 111 S. 11Th Street, Philadelphia, PA, 19107-4824
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669405346
Provider Name
Charles M. Intenzo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 S. 11Th Street, Philadelphia, PA, 19107-4824
Phone Number
215-955-2900
Fax Number
215-923-1562
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001073932 05 PA
6377505 05 NJ
0010739320009 05 PA
institution
Provider Business Practice Location Address Details
Address
111 S. 11Th Street
City
Philadelphia
State
Pennsylvania
Zip
19107-4824
Phone Number
215-955-2900
Fax Number
215-923-1562
person
Provider Business Mailing Address Details
Address
111 S. 11Th Street
City
Philadelphia
State
Pennsylvania
Zip
19107-4824
Phone Number
215-955-2900
Fax Number
215-923-1562
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
2085N0904X
License No.
MD025932E (Pennsylvania)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
MD025932E (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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