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Individual
EFREM BOLANO MAGTAGNOB
Active
Individual
EFREM BOLANO MAGTAGNOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C1-0010089
DE
207R00000X
Internal Medicine Physician
MD454977
PA
208M00000X
Hospitalist Physician
Primary
MD454977
PA
282N00000X
General Acute Care Hospital
C1-0010089
DE
314000000X
Skilled Nursing Facility
C1-0010089
DE
Other
Enumeration date
09/08/2011
Last updated
12/10/2024
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