# EAR, NOSE, & THROAT MEDICAL ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912243270
- **Authorized official:** DR. VICTOR GERARD GENTILE M.D. (OWNER/PHYSICIAN)
- **Authorized official phone:** (908) 979-0662

## Contact information

- **Practice address:** 108 BILBY RD, SUITE 301, HACKETTSTOWN, NJ 07840-4174
- **Practice address phone:** (908) 979-0662
- **Practice address fax:** (908) 979-0713
- **Mailing address:** 108 BILBY RD, SUITE 301, HACKETTSTOWN, NJ 07840-4174
- **Mailing address phone:** (908) 979-0662
- **Mailing address fax:** (908) 979-0713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | MA63710 | NJ | Yes |

## Other

- **Enumeration date:** 12/13/2012
- **Last updated:** 12/13/2012