Provider Demographics
NPI:1558774380
Name:LENTINI, ASHLEY (MD)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:
Last Name:LENTINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ASHLEY
Other - Middle Name:
Other - Last Name:REDDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 754
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08332-0754
Mailing Address - Country:US
Mailing Address - Phone:856-690-1025
Mailing Address - Fax:856-690-1352
Practice Address - Street 1:1505 W. SHERMAN AVENUE
Practice Address - Street 2:
Practice Address - City:VINELAND
Practice Address - State:NJ
Practice Address - Zip Code:08360-7059
Practice Address - Country:US
Practice Address - Phone:856-641-7833
Practice Address - Fax:856-641-7623
Is Sole Proprietor?:No
Enumeration Date:2014-06-10
Last Update Date:2021-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT206732390200000X
NJ25MA11159200207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program