Individual
GERARDO ELIAS TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 QUARRY RD STE 120, TRUMBULL, CT 06611-4877
(203) 372-4065
(203) 372-1644
Mailing address
112 QUARRY RD STE 120, TRUMBULL, CT 06611-4877
(203) 372-4065
(203) 372-1644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65162
CT
Other
Enumeration date
05/24/2017
Last updated
07/02/2020
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