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NPI Code Detail

MEDICARE: ANDREW JOSEPH GENTILIN

MEDICARE: ANDREW JOSEPH GENTILIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician26860WV
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1275822157
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW JOSEPH GENTILIN
Provider Business Mailing Address
First Line : 458 IRONWOOD DR
Second Line :
City : CANONSBURG
State : PA
Zip : 15317-9569
Country : US
Telephone Number : 304-610-5047
Fax Number :
Provider Business Practice Location Address
First Line : 1145 BOWER HILL RD STE 105
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1346
Country : US
Telephone Number : 304-925-4086
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2011
Last Update Date : 03/21/2024

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Directions to “ ANDREW JOSEPH GENTILIN ” Practice Location

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