Organization
DONALD J GENTILE MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD JOSEPH GENTILE MD (PRESIDENT)
(508) 764-6356
Entity
Organization
Contact information
Practice address
100 SOUTH ST STE 208, MEDICAL ARTS BUILDING, SOUTHBRIDGE, MA 01550-4051
(508) 764-6356
Mailing address
100 SOUTH ST STE 208, MEDICAL ARTS BUILDING, SOUTHBRIDGE, MA 01550-4051
(508) 764-6356
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2055619
—
MA
Enumeration date
05/14/2007
Last updated
08/22/2020
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