Provider Demographics
NPI:1194724112
Name:GENTILE, HELEN L (DPM)
Entity type:Individual
Prefix:DR
First Name:HELEN
Middle Name:L
Last Name:GENTILE
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 E CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-3232
Mailing Address - Country:US
Mailing Address - Phone:610-383-0825
Mailing Address - Fax:610-383-0825
Practice Address - Street 1:245 E CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:COATESVILLE
Practice Address - State:PA
Practice Address - Zip Code:19320-3232
Practice Address - Country:US
Practice Address - Phone:610-383-0825
Practice Address - Fax:610-383-0825
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-20
Last Update Date:2009-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002851-L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAGE149915Medicare PIN
PAT29636Medicare UPIN