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NPI Code Detail

MEDICARE: MRS. DENISE R. CENTINI PA-C

MEDICARE: MRS. DENISE R. CENTINI PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantMA052160PA

General Provider Information

NPI Number : 1346390036
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DENISE R. CENTINI PA-C
Provider Business Mailing Address
First Line : 3421 CONCORD RD
Second Line :
City : YORK
State : PA
Zip : 17402-9001
Country : US
Telephone Number : 717-639-3230
Fax Number : 717-274-1659
Provider Business Practice Location Address
First Line : 720 NORMAN DR
Second Line :
City : LEBANON
State : PA
Zip : 17042-7481
Country : US
Telephone Number : 717-639-3230
Fax Number : 717-274-1659
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2007
Last Update Date : 07/09/2018

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