Individual
DR. DOMINIC JOHN GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST BOX 801002, CHARLOTTESVILLE, VA 22908-0816
(434) 243-0223
(434) 244-7584
Mailing address
1215 LEE ST BOX 801002, CHARLOTTESVILLE, VA 22908-0816
(434) 243-0223
(434) 244-7584
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9068
NE
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116040335
VA
Other
Enumeration date
07/06/2021
Last updated
06/29/2025
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