MICAH GENTILE

NEW LONDON, CT
NPI1568863843
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  60527256)
Enumeration Date2014-09-05
Last Update Date2019-01-07
Business Address
MICAH GENTILE
15 MOHEGAN AVE
NEW LONDON, CT 06320-8100
Phone number: 860-704-6999
Mailing Address
MICAH GENTILE
PO BOX 195002 N46 CAPE SARICHEF
KODIAK, AK 99619-5002
Phone number: 907-487-5757
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