Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Charles M. Intenzo, MD

Individual provider Diagnostic Radiology Physician · NPI 1669405346

Dr. Charles M. Intenzo, MD is a Nuclear Medicine in Philadelphia, Pennsylvania. Graduated from Hahnemann University College of Medicine in 1980, 46 years ago. Practices with Jefferson University Radiology Associates LLC, a 108-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
46
Trained at
Hahnemann University College of Medicine
Licensed in
PA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

111 S 11th St Ste 3390
Philadelphia, PA 19107-4824
Phone: (215) 955-2900
Fax: (215) 923-1562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 380 N Oxford Valley Rd, Langhorne, PA 19047-8304 — (215) 949-5111
  • 10800 Knights Rd, Philadelphia, PA 19114-4200 — (215) 612-4811
  • 4900 Frankford Ave, Philadelphia, PA 19124-2618 — (215) 831-2063

Specialties & licences

Nuclear Radiology Physician (primary) Taxonomy 2085N0904X · Licence MD025932E (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD025932E (PA)

Record details

NPI number1669405346
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2006
Last updated in NPPESDecember 10, 2019
Certification dateDecember 10, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNUCLEAR MEDICINE
Medical schoolHAHNEMANN UNIVERSITY COLLEGE OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Jefferson University Radiology Associates Llc — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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