Individual
ANGELICA BROOKE ELIZABETH GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 BROADWAY, SAUGUS, MA 01906-1057
(781) 233-9787
Mailing address
5 BROADWAY, SAUGUS, MA 01906-1057
(781) 233-9787
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5011635
MA
Other
Enumeration date
02/24/2023
Last updated
02/24/2023
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