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Individual

GARY D CENEVIVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 233-4082
Mailing address
PO BOX 854, MC A410, HERSHEY, PA 17033-0854
(800) 233-4082

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD047318L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0015835600001
PA
Enumeration date
05/12/2006
Last updated
09/22/2009
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