Dr. Philip John Gentlesk, M.D.
Internal Medicine, Clinical Cardiac Electrophysiology in Norfolk, VA. Individual provider (NPI-1).
NPI number1528059862
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1528059862
- Entity type
- Individual (NPI-1)
- Name
- Dr. Philip John Gentlesk
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2005
- Certification date
- Jul 15, 2022
- Last updated
- Jul 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | 0101247596 | VA | Yes |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | M2328 | TX | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | MD421833 | PA | |
| 207RC0000X | Internal Medicine, Cardiovascular Disease | 0101247596 | VA | |
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | M2328 | TX | |
| 207RC0001X | Internal Medicine, Clinical Cardiac Electrophysiology | MD421833 | PA |
Practice location
301 Riverview Ave Ste 700Norfolk, VA 23510-1065
Phone 757-252-9365 · Fax 757-962-7217
Mailing address
301 Riverview Ave Ste 700Norfolk, VA 23510-1065
Phone 757-252-9365 · Fax 757-962-7217
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