Individual
DR. NICHOLAS G. BAGNOLI
Active
Individual
DR. NICHOLAS G. BAGNOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS7417
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252446500
—
FL
01
—
3123096
AETNA
FL
01
—
57552
BCBS
FL
01
—
7848047011
CIGNA
FL
Enumeration date
05/22/2006
Last updated
02/01/2008
Update your record
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