Individual
SARA C. GAVENONIS
Active
Individual
SARA C. GAVENONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
231225
MA
2085R0202X
Diagnostic Radiology Physician
Primary
C1-0010238
DE
2085R0202X
Diagnostic Radiology Physician
MD431328
PA
Other
Enumeration date
01/09/2007
Last updated
02/28/2013
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