Olivia Elizabeth Gentilezza, PA-C
Physician Assistant in Scranton, PA. Individual provider (NPI-1).
NPI number1407428808
StatusActive
Last updated in NPPESJul 14, 2021
Details
- NPI
- 1407428808
- Entity type
- Individual (NPI-1)
- Name
- Olivia Elizabeth Gentilezza
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2021
- Certification date
- Jul 13, 2021
- Last updated
- Jul 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | MA062610 | PA | Yes |
Practice location
449 Scranton Carbondale HwyScranton, PA 18508-1115
Phone 570-344-6000
Mailing address
Po Box 701Waverly, PA 18471-0701
Phone 570-687-6710
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