| NPI | 1912243270 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR GERARD GENTILE Owner/Physician 908-979-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NJ MA63710) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |