Individual
DONALD JOSEPH GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(317) 614-9817
(317) 614-9655
Mailing address
PO BOX 6069, DEPT 87, INDIANAPOLIS, IN 46206-6069
(866) 282-7905
(800) 731-0751
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01028957A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072060
—
IN
Enumeration date
11/13/2009
Last updated
05/03/2019
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