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Individual
DR. MICHAEL S BONGIOVANNI
Active
Individual
DR. MICHAEL S BONGIOVANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G59386
CA
207X00000X
Orthopaedic Surgery Physician
Primary
G59386
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G593860
—
CA
01
—
200042516
RR MEDICARE
CA
01
—
4858980001
CIGNA MEDICARE DMERC
CA
Enumeration date
03/01/2006
Last updated
01/14/2014
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