Provider Demographics
NPI:1275522104
Name:MARTINO, GAIL L (MS, CGC)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:L
Last Name:MARTINO
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 DUKE MEDICINE CIR
Mailing Address - Street 2:DUMC BOX 2974
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-4000
Mailing Address - Country:US
Mailing Address - Phone:919-668-6180
Mailing Address - Fax:919-668-6119
Practice Address - Street 1:DUKE CANCER CTR
Practice Address - Street 2:20 DUKE MEDICINE CIRCLE
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-668-3181
Practice Address - Fax:919-668-6119
Is Sole Proprietor?:No
Enumeration Date:2005-10-13
Last Update Date:2016-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS