Individual
THOMAS B GENTILCORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 371-2200
(814) 375-3384
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 371-2200
(817) 375-3384
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD060950L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001701495
—
PA
Enumeration date
06/26/2006
Last updated
06/21/2011
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