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Individual

DR. TINA M LUSIGNOLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
108 S RALEIGH AVE, ATLANTIC CITY, NJ 08401-5822
(617) 480-3032
Mailing address
108 S RALEIGH AVE, ATLANTIC CITY, NJ 08401-5822
(617) 480-3032

Taxonomy

Speciality
Code
Description
License number
State
2084F0202X
Forensic Psychiatry Physician
216710
MA
2084P0015X
Psychosomatic Medicine Physician
216710
MA
2084P0015X
Psychosomatic Medicine Physician
54329
CA
2084P0800X
Psychiatry Physician
057885
GA
2084P0800X
Psychiatry Physician
Primary
216710
MA
2084P0800X
Psychiatry Physician
35.127220
OH
2084P0800X
Psychiatry Physician
54329
CA

Other

Enumeration date
08/14/2006
Last updated
10/30/2015
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