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Individual
COLLEEN GAVIGAN
Active
Individual
COLLEEN GAVIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0089463
MD
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
87608
SC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
D89463
MD
Other
Enumeration date
03/28/2016
Last updated
08/03/2022
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