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Individual
DR. CONCETTA AURELIA GARDZIOLA
Active
Individual
DR. CONCETTA AURELIA GARDZIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1224
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902822166
—
SC
01
—
571018487
CHAMPUS TRICARE
SC
01
—
AA3578
MEDICARE PTAN
SC
Enumeration date
07/14/2006
Last updated
05/12/2021
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