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Individual
DAVID P ALLEGRA
Active
Individual
DAVID P ALLEGRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
G71599
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
G71599
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G71599
MEDICAL LICENSE
CA
01
—
W15185A
MEDICARE PTAN - FACILITY
CA
Enumeration date
08/02/2006
Last updated
11/12/2013
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