Individual
GAIL L BONGIOVANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3590 LUCILLE DR, CINCINNATI, OH 45213-2674
(513) 475-7505
(513) 475-7355
Mailing address
PO BOX 636256, CENTRAL CREDENTIALING, CINCINNATI, OH 45263-6256
(513) 585-5507
(513) 585-5511
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
35-047633
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0495932
—
OH
01
—
100010945
RAILROAD MEDICARE
OH
Enumeration date
06/10/2005
Last updated
07/10/2017
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