Individual
DR. DOUGLAS ALAN GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 COLCHESTER AVE, FAHC, EMERGENCY DEPARTMENT, BURLINGTON, VT 05401-1473
(802) 847-3982
(802) 847-5963
Mailing address
467 BEAVER CREEK ROAD, SHELBURNE, VT 05482
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
42-0009006
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0VN1027
—
VT
05
—
30200445
—
NH
05
—
E01526521
—
NY
Enumeration date
07/26/2006
Last updated
07/31/2013
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