Individual
MR. ROBERT GENE FACENTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3595
(301) 552-8887
Mailing address
7344 KINDLER RD, COLUMBIA, MD 21046-1218
(410) 312-7487
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002027
MD
Other
Enumeration date
07/12/2006
Last updated
07/26/2016
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