Individual
HOLLY AMBER GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
345 BLACKSTONE BLVD, PROVIDENCE, RI 02906-4800
(203) 240-5871
Mailing address
345 BLACKSTONE BLVD STE 2, PROVIDENCE, RI 02906-4829
(401) 455-6356
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01033
RI
Other
Enumeration date
07/09/2018
Last updated
03/19/2021
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