Individual
DR. JOSEPHA BUENO DEVARO
Active
Individual
DR. JOSEPHA BUENO DEVARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
043567
GA
207N00000X
Dermatology Physician
Primary
21537
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00777004E
—
GA
01
—
070013957
RR MEDICARE
—
Enumeration date
09/08/2005
Last updated
09/22/2015
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