ERIC I GENTRY MD

NORTHEAST MEDICAL GROUP INC

Dr ERIC I GENTRY MD is a male medical professional, specializing in Critical Care (intensivists). He graduated in 1987 from State University Of New York Health Science Center Of Syracuse.

Contact

NORTHEAST MEDICAL GROUP INC

2800 MAIN ST
BRIDGEPORT
CT
066064201

Tel: 2035766000

ERIC I GENTRY MD Information

Npi 1134200827
Pac Id 5395743298
Professional Enrollment Id I20061130000368
Last Name GENTRY
First Name ERIC
Middle Name I
Suffix
Gender M
Credential MD
Medical School Name STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE
Graduation Year 1987
Primary Specialty CRITICAL CARE (INTENSIVISTS)
Secondary Specialty 1 PULMONARY DISEASE
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties PULMONARY DISEASE
Organization Legal Name NORTHEAST MEDICAL GROUP INC
Group Practice Pac Id 1254233836
Number Of Group Practice Members 1042
Line 1 Street Address 2800 MAIN ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City BRIDGEPORT
State CT
Zip Code 066064201
Phone Number 2035766000
Hospital Affiliation Ccn 1 070010
Hospital Affiliation Lbn 1 BRIDGEPORT HOSPITAL
Hospital Affiliation Ccn 2 070028
Hospital Affiliation Lbn 2 ST. VINCENT'S MEDICAL CENTER
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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