Individual
GLORIA T FIORAVANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
240 UNION STATION PLZ, BETHLEHEM, PA 18015-1281
(610) 954-4000
Mailing address
625 E BROAD ST, 2ND FLR, BETHLEHEM, PA 18018-6332
(610) 954-6048
(610) 954-3189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO005139L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012687460001
—
PA
Enumeration date
09/20/2006
Last updated
07/09/2007
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