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Individual
MR. ROBERT M. GDOVIN
Active
Individual
MR. ROBERT M. GDOVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-005514-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2081214000
INDEPENDENCE BLUE CROSS
PA
01
—
575479
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/07/2006
Last updated
07/08/2007
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