Individual
PETER ALEXANDER DEGOLIA
Active
Individual
PETER ALEXANDER DEGOLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
35062016
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000221407
UNISON
OH
01
—
000000531122
ANTHEM
OH
05
—
0968243
—
OH
01
—
414960
WELLCARE
OH
01
—
4558739
AETNA
OH
01
—
738457
BUCKEYE
OH
01
—
P00412320
RAILROAD MEDICARE
OH
Enumeration date
07/07/2006
Last updated
03/06/2008
Update your record
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