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Organization

RALPH L GENTILE M D PROF CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RALPH L. GENTILE M.D. (PRESIDENT)
(718) 295-9400
Entity
Organization

Contact information

Practice address
3130 GRAND CONCOURSE, SUITE 1S, BRONX, NY 10458-1213
(718) 295-9400
(718) 295-8004
Mailing address
3130 GRAND CONCOURSE, SUITE 1S, BRONX, NY 10458-1213
(718) 295-9400
(718) 295-8004

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
080360
NY

Other

Enumeration date
10/14/2009
Last updated
10/23/2009
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