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Individual

PATRICK GENTEMPO JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1776 PARK AVE STE 4-217, PARK CITY, UT 84060-5148
(201) 345-3370
Mailing address
1776 PARK AVE STE 4-217, PARK CITY, UT 84060-5148
(201) 345-3370

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00265100
NJ
111N00000X
Chiropractor
CHIR002031
GA
111N00000X
Chiropractor
Primary
X004892-1
NY

Other

Enumeration date
09/12/2016
Last updated
09/12/2016
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