Individual provider · Type 1 NPI

Victoria Gentile, PA-C

Medical Physician Assistant · New Haven, CT

NPI number 1295207413 Active

Practice location

20 York St
New Haven, CT 06510-3220

Mailing address

625 Whitney Ave Apt 5
New Haven, CT 06511-2281

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X4392 (CT)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X4392 (CT)

Medical Physician Assistant: Definition to come...

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About NPI 1295207413

Victoria Gentile, PA-C's National Provider Identifier is 1295207413, issued on Dec 28, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Haven, CT. The record was last updated on Nov 12, 2019.