Individual
BRANDEE GENTILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
90 BERGEN ST, SUITE 8100, NEWARK, NJ 07103-2425
(973) 972-2427
Mailing address
90 BERGEN ST, SUITE 8100, NEWARK, NJ 07103-2425
(973) 972-2427
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
149720
VA
2255A2300X
Athletic Trainer
Primary
25MT00188900
NJ
Other
Enumeration date
02/13/2013
Last updated
05/04/2017
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