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Individual

LOUIS J DELL'ITALIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
14445
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000080582
BLUE CROSS
AL
05
000080582
AL
01
010026530
RAILROAD MEDICARE
AL
01
B22204
VIVA
AL
Enumeration date
06/14/2006
Last updated
07/15/2011
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