Provider Demographics
NPI:1336292085
Name:TENCZA, CHRISTIAN THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:THOMAS
Last Name:TENCZA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1153 E MAIN ST
Mailing Address - Street 2:PO BOX 2563
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-4056
Mailing Address - Country:US
Mailing Address - Phone:740-687-8990
Mailing Address - Fax:740-687-8230
Practice Address - Street 1:618 PLEASANTVILLE RD
Practice Address - Street 2:SUITE 303
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3312
Practice Address - Country:US
Practice Address - Phone:740-689-6833
Practice Address - Fax:740-689-6827
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2016-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.088959207R00000X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2769142Medicaid
OH2769142Medicaid