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Individual
DR. MICHAEL P BOVA
Active
Individual
DR. MICHAEL P BOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08432082
BLUE CROSS BLUE SHIELD
IL
01
—
088405
HEALTH ALLIANCE
IL
01
—
166621
HEALTHLINK NETWORK ID
IL
01
—
3003
NEIC SITE ID,NSF BAO-7
IL
01
—
P00063271
RAILROAD MEDICARE
IL
Enumeration date
09/27/2005
Last updated
11/06/2007
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