Individual
MONICA C GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 N 3RD ST, COPLAY, PA 18037-1524
(610) 200-8183
(610) 530-0151
Mailing address
3067 JORDAN RD, OREFIELD, PA 18069-2261
(610) 530-0151
(610) 625-3003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD061743L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1637311
—
PA
01
—
968579
HIGHMARK INDV NUMBER
PA
Enumeration date
06/13/2006
Last updated
06/05/2010
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