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Individual

JEFFREY GIOVINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3265 FULLING MILL ROAD, MIDDLETOWN, PA 17057
(717) 599-0452
(888) 288-1708
Mailing address
3265 FULLING MILL ROAD, MIDDLETOWN, PA 17057
(717) 599-0452
(888) 288-1708

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
21369992
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1027018
VT
Enumeration date
10/27/2016
Last updated
10/27/2016
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