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Individual
DR. JAVIER IGNACIO GENTILE
Active
Individual
DR. JAVIER IGNACIO GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
LT000771
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
LT000771
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
MT213590
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
TL166
AZ
Other
Enumeration date
03/20/2017
Last updated
07/21/2022
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