Individual
JOHN VINCENT GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3990
(330) 480-3522
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3990
(330) 480-3522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
20A11130
CA
207X00000X
Orthopaedic Surgery Physician
34.010809
OH
207XX0801X
Orthopaedic Trauma Physician
Primary
34.010809
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108112
—
OH
01
—
H360540
MEDICARE PTAN
OH
Enumeration date
03/08/2010
Last updated
12/28/2016
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