Provider Demographics
NPI:1720881865
Name:VALENTINI, GERALD JOSEPH JR
Entity type:Individual
Prefix:
First Name:GERALD
Middle Name:JOSEPH
Last Name:VALENTINI
Suffix:JR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1185 SPRING CREEK DR APT 103
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-8213
Mailing Address - Country:US
Mailing Address - Phone:215-913-7699
Mailing Address - Fax:
Practice Address - Street 1:1185 SPRING CREEK DR APT 103
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-8213
Practice Address - Country:US
Practice Address - Phone:215-913-7699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program