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Individual
JEROME VINCENT GIOVINAZZO
Active
Individual
JEROME VINCENT GIOVINAZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT204998
PA
207W00000X
Ophthalmology Physician
Primary
276893
NY
390200000X
Student in an Organized Health Care Education/Training Program
MT204998
PA
Other
Enumeration date
06/10/2013
Last updated
09/18/2019
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