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Individual

BETHANY GENTILESCO

Active
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Individual

BETHANY GENTILESCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A81998
CA
207R00000X
Internal Medicine Physician
Primary
MD12242
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1689749
RI
05
1689749822
RI
01
32947-5
BCBS RI
RI
01
413923
BLUECHIP
RI
01
AA99999
HPHC
RI
Enumeration date
11/22/2006
Last updated
03/05/2026
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