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Individual
JOHN P. GAVIN
Active
Individual
JOHN P. GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
244142
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02883094
—
NY
01
—
244142
NYS LICENSE
NY
Enumeration date
06/08/2007
Last updated
05/23/2022
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