Individual
DOMINIC GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, CRNA
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
145 GRANT AVE, APARTMENT 2, MEDFORD, MA 02155-4041
(508) 736-7314
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN267728
MA
Other
Enumeration date
11/18/2014
Last updated
12/13/2014
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