Gentile, Bryon A.

Gentile, Bryon A. is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Adolescent Medicine, Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Gentile, Bryon A. can be contacted via phone (508) 334-3452.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Fax: (774) 441-7657
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 207RA0000X 250493 Massachusetts
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 250493 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 250493 Massachusetts

Profile Details

NPI number 1821258179
LBN Legal business name Gentile, Bryon A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2008
Last updated Nov 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821258179 NPPES
Massachusetts MEDICAID 110103168A

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