Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MA061631 | NJ |
NPI | 1023095007 |
---|---|
Provider Name | Dr. David R Gentile |
First Address | Tinton Falls, NJ 07724-3006 |
Second Address | Tinton Falls, NJ 07724-3006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 13/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1040002 | AETNA (01) | NJ |
1841743 | UNITED HEALTHCARE (01) | NJ |
300887600 | US DEPT OF LABOR (01) | NJ |
3222403 | (05) | NJ |
7628005 | (05) | NJ |
945863 | PHS/GUARDIAN (01) | NJ |
G70698 | (02) | NJ |
J29975 | HEALTHNET (01) | NJ |
P2985882 | OXFORD (01) | NJ |