Most Relevant Information
Provider Data
| NPI Number: | 1003039116 |
| Provider Name: | ROSEMARY E GENTILE RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/10/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
22 VALLEY ST
WATERFORD
CT
063853619
Practice Location Phone/Fax
| Phone: | 8604373027 |
| Fax: |
Provider Mailing Location
22 VALLEY ST
WATERFORD
CT
063853619
Provider Mailing Phone/Fax
| Phone: | 8604373027 |
| Fax: |