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Individual
DOMINICK C ERVELLI
Active
Individual
DOMINICK C ERVELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
03258
IA
207R00000X
Internal Medicine Physician
Primary
DO-03258
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1196071
—
IA
Enumeration date
01/17/2006
Last updated
05/03/2022
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