Individual
CHRISTINA ELIZABETH GENTILE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
915 POQUONNOCK RD, GROTON, CT 06340-4257
(860) 446-0144
Mailing address
915 POQUONNOCK RD, GROTON, CT 06340-4257
(860) 446-0144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
CT
Other
Enumeration date
07/28/2020
Last updated
11/15/2022
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