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Individual

DR. LOUIS JOHN CIRAVOLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M.

Taxonomy

Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
MD02339
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010002883-00
AMERICHOICE OF NJ
NJ
01
1107086
HORIZON NJ HEALTH
NJ
05
7279302
NJ
Enumeration date
01/05/2007
Last updated
07/09/2007
Update your record

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