Individual
MS. ANN MARIE C GENTILI-STOCKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-A
Contact information
Practice address
1244 BOYLSTON ST, STE 303, CHESTNUT HILL, MA 02467
(617) 383-6830
(617) 383-6880
Mailing address
1244 BOYLSTON ST, STE 303, CHESTNUT HILL, MA 02467-2116
(617) 383-6841
(617) 383-6880
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
460
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AD0104
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/12/2005
Last updated
02/01/2011
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