Individual
DR. GIOVANNA IGNACIO SUBIRA MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-8523
Mailing address
1730 RACHAEL ST UNIT A, PHILADELPHIA, PA 19115-4272
(781) 475-0736
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
1016134
MA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MT221483
PA
Other
Enumeration date
06/30/2020
Last updated
08/15/2023
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