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Individual

NINA SELVAGGI

Active
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Individual

NINA SELVAGGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101043382
VA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
0101043382
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110153967
RR MEDICARE
05
6037909
VA
Enumeration date
08/28/2006
Last updated
05/05/2008
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