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Individual

DONNA MARIE GAVARONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
9622 BUSTLETON AVENUE, SUITE 6, PHILADELPHIA, PA 19115-3100
(215) 673-7067
(215) 673-4966
Mailing address
9622 BUSTLETON AVENUE, SUITE 6, PHILADELPHIA, PA 19115-3100
(215) 673-7067
(215) 673-4966

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS007885L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0014927600002
PA
Enumeration date
05/25/2006
Last updated
06/29/2010
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